Facility Evaluation Report

On 07/31/24 at 11:30AM, Licensing Program Analysts (LPA) D Panlilio and P Manalo arrived unannounced to conduct an annual required inspection. LPAs met with staff (S1) and spoke to administrator (ADM) on the phone who authorized S1 to act on his behalf and sign the reports. LPAs explained the purpose of the visit with ADM and S1. LPAs observed ADM has a current administrator certificate# 7033233735 which expires 04/01/2025.

LPA toured the facility including but not limited to the front entrance, screening station, kitchen, bathrooms, bedrooms and common areas. There is one central entry point for universal screening for staff, clients and visitors. A sign-in policy, visitor’s logs, no touch thermometer, additional face masks and hand sanitizer were observed at the screening station. Emergency Disaster Plan, Complaint poster, Personal rights, Cough/sneeze etiquette, proper hand-washing signs were observed posted in common areas. Facility has a sufficient 2-day perishable and 7-day non-perishable food supply. Facility has a 30-day supply of PPEs, paper, medications locked in cabinets. Comfortable temperature is maintained at 73 deg F. Facility has a mitigation plan in place and the infection control leader is the administrator. Inside and outside pathways were free of obstruction and fire hazards. Smoke and Carbon monoxide detectors were operational. Fire extinguisher was observed last inspected on 10/23/23 and fully charged. LPA reviewed 3 staff and 5 client files.

LPAs observed the following deficiency during visit:

· Hot water temperature was measured at 144 deg F.