Facility Evaluation Report

On 12/05/2024 at 9:25 AM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Caregivers, Marilyn Magalued and Joanna Magalong and explained the purpose of the visit. Marilyn phoned the Licensee/Administrator, Leah MacDonald to inform. The facility’s fire clearance was approved for capacity of six (6) all non-ambulatory residents. Hospice waiver approved for two (2) residents. Administrator Certificate # 7004457740 expires 05/11/2024.

LPA toured facility with Joanna including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of five (5) total bedrooms which four (4) bedrooms are occupied by the residents and one (1) bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 76 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 129.2 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents.

Smoke and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 03/01/2024. Emergency Disaster Plan was last posted in 2023. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 10/01/2024.