Facility Evaluation Report

On 3/30/2023 at 01:15PM, Licensing Program Analysts (LPAs) L. Hall and C. Fowler conducted an unannounced annual required inspection. LPA met with Henry Matigbay, Administrator, and explained the purpose of the visit. Administrator arrived at 1:45PM. The facility’s fire clearance was approved for five (5) ambulatory and two (2) non-ambulatory clients. Administrator certificate (6013453735) expires 2/28/2024.

LPAs toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and back yard. The facility consists of five (5) total bedrooms which one (1) is occupied by the staff, one (1) is an office. There are no bodies of water. A comfortable temperature for clients is maintained at 66 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 99.8 degrees Fahrenheit. All toilets, hand washing, and bathing are safe, sanitary and in operating condition. Paper goods are sufficient. There is a minimum of 7-day non-perishables and 2-day perishables foods.

Smoke detector/carbon monoxide was operable. Fire extinguisher was purchased 06/2022. Emergency Disaster Plan was last posted on 06/06/2022. First aid kit was observed to be complete.