Facility Evaluation Report

At 11:00 a.m. on this day, February 8, 2024, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with House Manager Lilibeth 'Beth' Toco, and informed the reason for visit. LPA also met with other staff, Benjamin Fonacier.

Facility has Infection Control Plan, copy of which obtained by LPA on this same day.

LPA toured the facility inside out with the house manager. LPA inspected the kitchen, dining area, living room, bedrooms, play room, bathrooms, side yard and backyard. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications and sharps were observed locked.

Facility has 2 in 1 carbon monoxide and smoke detector that was tested, and observed functional. Facility conducts fire drills and records showed last conducted January 10, 2024. Fire extinguisher checked, observed fully charge and receipt showed purchased July 20, 2023. Hot water temperature was tested in one of the bathrooms.

LPA reviewed 5 staff and 5 residents records, and interviewed 2 staff and 2 residents. Medications were checked and compared with doctor's order and LIC622 Centrally Stored Medication and Destruction Record. P&I were checked and compared with the last recorded balance.