Facility Evaluation Report

On 01/16/2024 at 10:00am, Licensing Program Analyst (LPA) Carol Fowler conducted an unannounced 1-Year Required inspection. LPA met with Evangeline Fernandez, Caregiver, and explained the purpose of the visit. Victoria Puruganan, Administrator arrived at 11:40am. The Administrator currently holds a certificate (#6019519740) that expires on 10/24/2024. The facility’s fire clearance was approved for six (6) non-ambulatory residents.

LPA toured the facility with Caregiver including but not limited to bedrooms, bathrooms, kitchen, common area, garage and backyard. The facility consists of five (5) total bedrooms which one (1) bedroom is occupied by staff, and two (2) bathrooms. No bodies of water observed. A comfortable temperature is maintained at 75 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 146.8 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguishers were last serviced on 08/16/2023. Emergency Disaster Plan was posted. First aid kit was observed to be complete.

LPA reviewed five (5) residents file and four (4) staff files the files reviewed were complete.