Facility Evaluation Report

On this day, February 1, 2024, at 11:30 a.m., Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with Sheilha Muniz, business office manager, and informed the reason for visit. LPA also met with other staff, Corazon Bugarin, Rosalita Llegado and Josefino Josue. Juliana Taburaza, administrator, arrived at 2:00 p.m.

Administrator submitted the LIC9282 Infection Control Plan on June 30, 2022.

LPA toured the facility inside out with the business office manager. 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.

Facility has smoke and carbon monoxide detectors that were tested, and observed functional. Hot water temperature in one of the bathrooms was tested, and measured at 105 degrees Fahrenheit. Fire extinguisher was observed fully charge with tag showed serviced 10/23/23. Facility conducts disaster drills monthly, and records showed last conducted 1/02/24.

LPA reviewed 5 residents and 5 staff files, and interviewed 3 staff and 3 residents. Medications were checked, and compared with doctor's orders and LIC622 Centrally Stored Medication and Destruction Records. Residents' P&Is were checked and compared with records.