Facility Evaluation Report

Licensing Program Analyst (LPA) Jose Villalobos conducted the unannounced continued annual Inspection visit using the Compliance And Regulatory Enforcement (CARE) Tool. LPA met with Administrator Florentino Vitangcol and the purpose of the visit was discussed.

Infection Control: LPA observed the facility has sufficient PPE supplies. Infection Control Plan is in place. The plan was collected and reviewed.

Operational Requirements: Facility is operating within its approved clearance.

Staffing: The facility has a sufficient staffing in the facility. Facility is present during the Nightshift.

Personnel Records-Training: Personal records centrally stored. LPA inspected five (5) staff files. All staff are background check cleared and associated with the facility. All the staff files have the required Title 22 documents. The administrators certificate is current.

Client's Right - Information: No client in the facility required any postural support at the present time. Required postings observed.

Food Service: Supply of Non perishables and perishables was observed. Food supply was adequately stored. Pesticides and other toxic substances were not stored with the food supply. Kitchen area was clean.

Client Records/Incident Reports: Client files are centrally stored. LPA reviewed six (6) client files. Client files are up to date and have required documents.

Incidental Medical Services: Currently no clients on restricted health condition plans. There are no clients in care with prohibited health conditions. First Aid kid observed and available when needed.

Disaster preparedness : The facility has an updated emergency disaster plan. Facility conducts fire/disaster drills. Facility has client information readily available in case of emergencies.

Emergency Intervention: The facility are not using any restraints in the facility.

Inspection tool completed. No deficiencies are being cited today. Exit interview conducted and a copy of this report was provided.