Facility Evaluation Report

On 07/24/2024 at 9:45am, Licensing Program Analyst (LPA) K. Nguyen conducted an unannounced 1-Year required inspection. LPA met with Nelai Punzalan, Caregiver, and explained the purpose of the visit. Victoria Puruganan, Administrator was not available during the inspection. Jezrael Pascual, Facility Manager later arrived at 12:10pm. 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 got verbal permission for Facility Manager to sign the report.

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. 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 (2) residents file and four (2) staff files the files reviewed were complete.

Exit interview conducted and a copy of this report provided.