Facility Evaluation Report

On 05/11/2023 11:00 AM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Caregivers, Josefina Luy and Delma Ong, and explained the purpose of the visit. The facility’s fire clearance was approved for 6.

LPA toured facility with Josefina including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms which 1 bedroom is for double occupancy by the residents. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 71 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 103.3.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 detectors and carbon monoxide dectector were in operating condition during visit. Fire extinguisher was last serviced on 04/06/21. Emergency Disaster Plan was last posted on 08/30/2017. First aid kit was observed to be complete. No current Emergency Disaster Drill conducted.