Facility Evaluation Report

On this day, June 14, 2023, at 10:22 a.m., Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with staff, Rowena Velasco, and informed the reason for visit. LPA called and spoke over the phone with Mary Pirounakis, administrator, who stated she is with residents for appointments, and Margarita 'Rita' Revill, co-administrator, is coming to the facility. Co-administrator arrived at 10:50 a.m.

Facility submitted the LIC9282 Infection Control Plan on June 8, 2023

LPA started the inspection with the staff and continued with co-administrator. LPA inspected the kitchen, dining area, living room, tv room, bedrooms, bathrooms, front, side and backyard. Facility has sufficient perishable and non-perishable foods. Fire extinguishers were observed fully charge with tags showed serviced March 20, 2024. Facility has 2 in 1 carbon monoxide and smoke detector that was tested and observed functional. Hot water temperature in one the common bathrooms was tested and measured at 110.9 degrees Fahrenheit. Facility conducts disaster drills monthly, and records showed last conducted May 10, 2024.

LPA reviewed 5 staff and 5 residents files, and interviewed 2 staff and 2 residents. P&I money checked and compared with last recorded balance. Medications were inspected and compared with LIC622 Centrally Stored Medication and Destruction Records and doctor's orders on file.

-at 10:31 a.m., expired protein drink (expiration dates: 8/29/23 & 6/02/21) and 2 bottles of classic cream (expiration dates: 2/04/24; 9/17/23).