Facility Evaluation Report

On 12/06/2024 at 1:00 PM, Licensing Program Analysts (LPAs) P. Manalo and L. Fontanilla announced to conduct pre licensing inspection. LPAs met with Licensee/Applicant, Maria Linda Erolin and explained the purpose of the visit. The facility has an approved fire clearance for 6 ambulatory clients.

LPAs toured facility with Licensee/applicant including but not limited to 4 bedrooms which 3 bedrooms will be occupied for clients and one staff room, 1 staff lounge, 2 bathrooms, kitchen, common areas and backyard. Bedrooms and living rooms were equipped with the proper furniture. Bathrooms were equipped with grab bars and non-skid mats. Linens and hygiene supplies were observed inside a cabinet. There is sufficient lighting throughout facility. Room temperature was maintained at 63 degrees F and hot water temperature was maintained at 136.7 degrees F. First-aid kit was observed to be complete. Smoke detectors and carbon monoxide were operational. Fire extinguisher was last serviced on 01/19/2024.

The following deficiencies were observed:

hot water measured at 136.7 degrees Fahrenheit

This facility is not yet licensed, and is subject to final approval by CAB. Additional requirements may still be required.

Exit interview conducted and a copy of this report was provided to Licensee/applicant.