Facility Evaluation Report

On this day, March 5, 2025, at 12:00 noon, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with staff, Charlainerose De Leon, and informed the reason for visit. LPA called and spoke over the phone with Mirriam Paras, administrator (ADM). ADM arrived at around 12:20 pm. LPA also met with other staff, Jonalyn Legarto, Melody Tria and Medelmira 'Mira' Cloma.

LPA started the inspection with Charleinerose De Leon and continued with ADM. 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 locked.

Hot water temperature in common bathroom was tested and measured at 111.9 degrees Fahrenheit. Fire extinguishers were observed fully charge with tags showed serviced 9/03/24. Carbon monoxide and smoke detectors were tested and observed in operating condition during today's visit. Facility conducts disaster drills and records showed last conducted 1/16/25.

LPA reviewed 5 residents and 5 staff files and interviewed 1 resident. Residents medications were checked and compared with doctor's orders and LIC622 Centrally Stored Medication and Destruction Records.

-at 12:09 pm, pocket utility knife in unlocked in the drawer adjacent to the kitchen.

-at 12:11 pm, food items in the refrigerator still in the shopping bags and box packaging materials. Sausage links and Bologna in opened plastic packaging material.

-at 12:13 pm, rotten mushrooms, Serrano peppers, radish, celery and carrots with mold in another refrigerator.