Facility Evaluation Report

On this day, March 8, 2024, at 10:45 a.m., Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with staff, Jonalyn Legarto

and Medelmira Cloma. LPA called and spoke with Mirriam Paras, administrator, who stated she can not come to the facility, and authorized Jonalyn Legarto to sign and receive this report.

Facility has LIC808 Mitigation Plan. Administrator submitted the LIC9282 Infection Control Plan on March 5, 2024.

LPA toured the facility inside out with Jonalyn Legarto. Facility is a two level home. LPA inspected the kitchen, dining area, living room, bedrooms, bathrooms, front, side and backyards. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications was observed locked.

Hot water temperature in one of the bathrooms on the ground floor was tested. Fire extinguisher was observed fully charge with tag showed serviced 9/22/23.

-at 11:15 a.m., staff medications and vitamins, scissors and disinfecting spray in area adjacent to the kitchen.

-at 11:21 a.m., cleaning agents in kitchen cabinet under the sink without lock.

-at 11:23 a.m, rubbing alcohol, medications and scissors in resident's room. Razors in the ensuite bathroom in this resident's room.