Facility Evaluation Report

On 01/30/2025 at 9:10 AM, Licensing Program Analysts (LPAs) P. Manalo and L. Fontanilla arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Direct Care Staff, Florita Bernardo, who phoned the Administrator and explained the purpose of the visit. Administrator came shortly after. Administrator certificate is current. The facility’s fire clearance was approved for all four ambulatory and two non-ambulatory.

LPAs toured the facility inside and out including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 4 total bedrooms which 3 bedrooms are occupied by the clients and 1 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water. LPAs observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature in the shared clients’ bathroom was measured at 116.4 degree Fahrenheit. The supply of hygiene products was available for clients. There is a minimum of one week supply of nonperishable and 2-day perishables food supply.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 08/09/2024. First aid kit was observed to be complete. Earthquake Drill was last conducted on 12/10/2024.

At 9:25 AM, 5 of 5 clients records were reviewed. At 9:49 AM, 4 staff records were reviewed. All staff are associated to the facility. LPAs reviewed client's P&I money with log and there was no discrepancies observed. LPAs reviewed all of client's medications.