Facility Evaluation Report

Licensing Program Analyst (LPA) Rachel Bruce arrived unannounced to conduct the Annual inspection. LPA was granted entry by Caregivers Isagani Colocado and Mae Geradine Guillermo. Administrator, Gina Flores was called and arrived shortly thereafter. Facility was toured with Caregiver, Isagani Colocado.

During this visit, LPA toured the facility and grounds. During this visit, there were 5 residents present. There are 6 resident rooms, all contained required furnishings and lighting and a TV , the hallway had working night lights.

There are 3 bathrooms in this facility. LPA observed grab bars in shower and around toilet, non skid mat in showers, shower chairs, and trash cans with lids. Hot water measured within regulatory requirements. Resident hygiene supplies were properly stored and available.

The kitchen was toured observed in good repair with necessary items and appliances and sharps/knives are stored in locked drawer. Cleaning products and dish soap are stored in locked cabinet below sink. Refrigerator was observed to be at 41 degrees F and Freezer at 0 degrees F. LPA observed 2 day perishable and 7 day non perishable food supply available. No expired food observed. There is a second refrigerator located in garage to hold extra food. Medications are centrally stored and locked in kitchen cabinets. Narcotics requiring refrigeration are stored in a locked box in the garage refrigerator.

There are 2 fire extinguishers in the facility, one in the laundry room and the second in the kitchen. Both were ta ken for service during the visit. Smoke and Carbon Monoxide detectors are located in each bedroom and in the common areas. Smoke/carbon detectors was tested and found to be functioning; they are interconnected.