Facility Evaluation Report

At 3:25 pm on this day, October 30, 2024, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual inspection. LPA met with Aura Rubilyn Bucu, staff. LPA called and spoke over the phone with Adora Santiago, administrator (ADM), and informed the reason for visit. ADM stated she was at the facility earlier and just left several minutes ago. ADM authorized Bucu to be with LPA during inspection and to sign and receive this report.

Facility has Infection Control Plan on file and completed copy submitted to LPA on December 2, 2022.

LPA toured the facility inside out with Bucu. LPA inspected the kitchen, living room, dining and lounge area, bathrooms, front, side and backyard. LPA randomly selected 7 residents rooms for inspection. 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 common bathrooms was tested and measured are 108.6 degrees Fahrenheit. Fire extinguishers checked, observed fully charge with tags showed serviced October 16, 2024.

LPA reviewed 5 staff files and interviewed 1 resident. Facility does not handle residents' cash resources.

-at 3:35 pm, rotten wood, collapsed boxes and shopping bags on the side and empty egg case on top of the refrigerator; refrigerator's side dusty; greasy refrigerator doors; kitchen cabinets with splatters; greasy, dirty kitchen floor.