Facility Evaluation Report

At 11:50 a.m. on this day, February 7, 2024, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with staff, Erich Solomon. and informed the reason for visit. LPA called and spoke over the phone with Michael Wise, administrator. LPA also spoke with Maria Ingco, licensee. Administrator arrived at around 12:20 p.m.

Administrator submitted the facility's Infection Control Plan which LPA received on February 6, 2024.

LPA toured the facility inside out. LPA inspected the kitchen, dining area, living and family rooms. bedrooms, 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 storage for cleaning supplies were observed locked. Facility has hygiene supplies for residents' use.

Facility has carbon monoxide and smoke detectors that were tested, and obse rved functional. Facility conducts fire drills and records showed last conducted December 20, 2023. F ir e extinguisher checked, observed fully charge with tag showed serviced January 22, 2024. Hot water temperature was tested in one of the bathrooms and measured at 113 degrees Fahrenheit..

LPA reviewed 3 staff and 2 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.