Facility Evaluation Report

On 02/13/24 at 11:30 a.m. Licensing Program Analyst (LPA) Evelin Rios conduct an unannounced annual inspection. LPA was greeted by staff #1 (S1). LPA observed hand sanitizer, and a visitor sign in log. LPA met with the administrator Emma Apolinario and Amante Apolinario. LPA explained to the administrator the purpose of the visit and an entrance interview was conducted. The facility is a two story home with a fire clearance for five (5) non-ambulatory residents and one (1) bedridden resident for a capacity of 6 residents.

At approximately 11:32 a.m. LPA conducted a physical plant tour and the following was observed:

Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of 2-day perishable and 7-day non-perishable food at the facility; properly stored. Knives were stored in a locked drawer in the kitchen. Medication was observed stored in a locked kitchen cabinet.

Bedrooms: There are five (5) bedrooms designated for residents' use. Two (2) of the bedrooms are currently vacant. Bedroom #1 is shared. Rooms occupied by residents were properly furnished with appropriate beddings, linens and with sufficient lighting. LPA observed half bed rails on resident's #2 (R2's) bed. LPA observed half rails on resident #3 (R3) bed.

Bathrooms: There is (1) bathroom designated for residents' use. Bathroom was properly supplied and had functional fixtures. Hot water temperature was taken 1:32 p.m. and read 117.8 degrees Fahrenheit.

Common Areas : These included the living area and dining area. The common areas were clean and properly furnished. The auditory alarms on all exit doors were on and functional at the time of the visit.