Facility Evaluation Report

On 1/27/2024 at 8:15 AM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct an annual required inspection. Upon entry, the LPA informed Licensee Gary Quiambao of the reason for visit.

The LPA inspected the facility inside and outside with the Licensee. The inspection included the kitchen, dining area, living room, bedrooms, bathrooms, and yards. An adequate amount of food supplies were observed, more than the required minimum of 2 days of perishable and 7 days of non-perishable food. The central storage for medications and cleaning supplies were stored in locked cabinets.

Facility has a fully functioning 2-in-1 smoke and carbon monoxide detector. Facility is not conducting disaster/emergency and fire drills on a quarterly basis (refer to citation in LIC 809-D). The fire extinguisher was fully charged and last replaced on 02/23/2024. The indoor temperature in the kitchen was 71.9 degrees Fahrenheit and the hot water temperature was 127.9 degrees Fahrenheit, above the maximum allowable 120 degrees Fahrenheit (refer to citation in LIC 809-D).

The LPA reviewed 4 resident and 3 staff records.

1 Type-A and 18 Type-B citations were issued during this inspection.

Exit interview conducted and a copy of this report provided.