Facility Evaluation Report

On 06/23/2023 at 10:07 AM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Licensee/Administrator, Angelita Quezon and explained the purpose of the visit. The facility’s fire clearance was approved for 6 ambulatory clients.

LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 7 total bedrooms which 3 bedrooms are occupied by the clients and 4 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water. A comfortable temperature for clients is maintained at 68 degree 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 105.3 degree Fahrenheit. All toilets, hand washing and bathing are safe, sanitary and in operating condition. The supply of extra hygienes were available for clients. There is a minimum of one week supply of non-perishable and 2-day perishables food supply.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 04/10/23. Emergency Disaster Drill was last posted on 06/04/23. First aid kit was observed to be complete. Fire drill was last conducted on 06/04/23.

At 11 AM, 2 of 2 clients records were reviewed. At 12pm, 4 staff records were reviewed and 4 of 4 have current first aid training and associated to the facility. A sample of 2 clients medications were reviewed.

Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 06/30/2023:

No deficiencies were cited during this inspection.

Exit interview conducted and a copy of this report provided.