Facility Evaluation Report

On 10/10/23 Licensing Program Analyst (LPA) Evelin Rios arrived at the facility to conduct an unannounced annual inspection. Upon arrival, LPA was greeted by the Administrator Merlita Nepomuceno. LPA observed covid-19 signs at the front door and required postings were observed on a wall by the living area. LPA Rios explained the purpose of the visit to the administrator.

At 10:20 a.m. LPA and administrator Merlita conducted a physical plant tour to ensure the health and safety of the residents in care. 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 cabinet in the kitchen. Cleaning products were stored in a locked cabinet under the kitchen sink. Medication stored in a locked kitchen cabinet.

Bedrooms: There are four (4) bedrooms of which four (4) are designated for residents' use. Three of the bedrooms are currently occupied. Bedroom #3 is currently vacant. Rooms occupied by residents were properly furnished with appropriate beddings and linens with sufficient lighting. LPA observed a full bed rail on resident #1's (R1's) bed.

Bathrooms: There are two (2) bathrooms designated for residents' use. Bathrooms were properly supplied and had functional fixtures. Hot water temperature was taken from one (1) of two (2) bathrooms at 10:40 a.m. and read between 105 and 120 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.