Facility Evaluation Report

On 1/05/2024 at 9:30am, Licensing Program Analyst (LPA) Carol Fowler conducted an unannounced 1-Year Required inspection. LPA met with Princess Nido, Caregiver, and explained the purpose of the visit. Cecilia San Diego-Tomas, Administrator arrived at 10:45am. The Administrator currently holds a certificate (#6048434740) that expires on 06/28/2024. The facility’s fire clearance was approved for four (4) non-ambulatory and four (4) bedridden residents.

LPA toured the facility with Caregiver Princess Nido including but not limited to bedrooms, bathrooms, kitchen, common area, garage and backyard. The facility consists of four (4) total bedrooms, and three (3) bathrooms. No bodies of water observed. A comfortable temperature is maintained at 74.8 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 105.1 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars.

Smoke detectors and carbon monoxide were in operating condition during visit. New Fire extinguisher will be purchased on 01/06/2024. Emergency Disaster Plan was last posted on 1/15/2023. First aid kit was observed to be complete.

LPA reviewed five (5) resident files and three (3) staff files which were found to be incomplete. Administrator had electronic copies of documents and will update resident and staff files.