Facility Evaluation Report

On 07/19/2024 at 11:13AM, Licensing Program Analyst (LPA) T. Syess-Gibson arrived to conduct an unannounced 1-Year Required inspection. LPA was greeted by Maricar Michellin. LPA met with Caregiver Gina Manlo who spoke with Administrator, Liezyl Ajos via telephone, and explained the purpose of the visit. The Administrator arrived at 11:43AM. Administrator currently holds a certificate (#7019104740) that expires on 12/01/2025. Facility has census of 3. The facility’s fire clearance was approved for six (6) non-ambulatory residents.

LPA observed a Maricar Michellin preparing food and Two (2) residents eating at the kitchen table upon entry.

LPA toured the facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area and back yard. The facility consists of four (4) bedrooms and two (2) bathrooms. All outdoor and indoor passageways are kept free of obstruction. LPA did not observe any bodies of water. A comfortable temperature is maintained at 85 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 116.8 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars. There is a minimum of 7-day supply of non-perishable and 2-day of perishable foods.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 10/11/2023. Emergency Disaster Plan was last posted on 12/25/2023. First aid kit was observed to be complete. Fire drill was last conducted on 12/11/2023.