Facility Evaluation Report

On this day, October 19, 2023, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual inspection and met with staff, Aileen Fajardo and Clara Fajardo. LPA called and spoke with Juliana Taburaza, licensee, and Sheilha Muniz, administrator, and informed the reason for visit. Licensee authorized Aileen Fajardo to be with LPA in touring the facility. Licensee and administrator arrived at around 12:00 noon.

Facility has Infection Control Plan and LPA obtained copy on this day.

LPA toured the facility inside out. LPA inspected the kitchen, dining and activity areas, bathrooms, residents' rooms, laundry room and staff room. Food were checked and observed supplies of 2 days of perishables and 7 days of non-perishables.

Facility has smoke and carbon monoxide detectors that were tested and observed functional. Hot water temperature in one of the bathrooms was tested . Facility conducts disaster drills monthly, and records showed last conducted September 9, 2023.

LPA reviewed 5 staff and 5 residents files, and interviewed 3 residents and 3 staff. Medications checked, and compared with records and doctor's orders. Residents cash resources records reviewed.

-at 11:40 am, hot water temperature at 122degrees Fahrenheit.

-at 2:30 pm, R1's LIC602A indicated R1 needs assistance with all activities of daily living.

-at 3;40 pm, R5's records showed R5 is over 60 years of age