Facility Evaluation Report

On 8/30/2023 at 1:15pm, Licensing Program Analyst (LPA) L. Hall conducted an unannounced annual 1-year required inspection. LPA met with Ann Marielle Llaguna, Caregive r , and explained the purpose of the visit. Administrator, Mike Nubla, arrived at 03:00pm. The administrator currently holds a certificate (#6021845735) that expires on 11/17/2023. The facility’s fire clearance was approved for five (5) non-ambulatory and 1 bedridden client.

LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area, garage, and back yard. The facility consists of five (5) total bedrooms and two (2) bathrooms. All indoor passageways are kept free of obstruction. There are no bodies of water. A comfortable temperature for clients is maintained at 74 degrees Fahrenheit. LPA 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 98.8 degrees Fahrenheit. All toilets, hand washing, and bathing are safe, sanitary and in operating condition. Hand washing poster, paper towel, and soap observed at all hand washing stations. The supply of extra hygiene was available for residents.

Smoke detectors/carbon monoxide were in operating condition during visit. Fire extinguisher was last services on 5/26/2022. First aid kit was observed to be complete.