Facility Evaluation Report

On this day, August 7, 2024, at 10:30 am, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with staff, Warlita Romero and Margarita Corazon Mariano. LPA called and spoke over the phone with Justino Balintona, licensee-administrator, and informed the reason for visit. LPA asked, and licensee authorized Warlita Romero to be with LPA during inspection. Licensee-administrator arrived after about 25 minutes.

Facility has Infection Control Plan that was submitted on 8/19/22.

LPA started inspection with Margarita Corazon Mariano and continued with administrator. LPA inspected the dining room, kitchen, bedrooms, bathrooms, living room, 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.

Facility has smoke and carbon monoxide detectors that were tested, and observed functional. Hot water temperature in the common bathroom was tested, and measured at 108 degrees Fahrenheit. Facility conducts drills and record showed last conducted 7/08/24.

LPA reviewed 4 staff and 5 residents files, and interviewed 2 staff. Facility does not handle residents' cash resources. Medications checked, and compared with doctor's orders and LIC622 Centrally Stored Medication and Destruction Records.

-at 10:42 am, refrigerator's vegetable crispers with mold, rotten bitter melon leaves, rotten asparagus and lettuce.