Facility Evaluation Report

On 09/23/24 Licensing Program Analysts (LPAs) Angelica Segovia and Evelin Rios arrived at the facility to conduct an unannounced annual inspection. Upon arrival, LPAs were greeted by the Administrator Jozam Batuian. LPA observed required postings along the entry walls. LPA explained the purpose of the visit. This is a single story home with six (6) bedrooms and two (2) and a half bathrooms. The facility has an approved fire clearance for five (5) non ambulatory and one (1) bedridden resident with a total capacity of six (6) and hospice wavier for 6.

At 11:35 a.m. LPAs and administrator Jozam 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 cabinet under the sink. Cleaning solutions and poisons where also locked in the cabinet under the sink. One (1) fire extinguisher was in the kitchen fully charged.

Bedrooms: There were six (6) bedrooms of which three (3) are currently designated for residents' use. Three of the bedrooms are currently occupied. Bedrooms occupied by residents were properly furnished with appropriate beddings and linens with sufficient lighting. A hallway closet by the bedroom was observed to store extra linens.

Bathrooms: There are three (3) bathrooms. Two (2) are designated for residents' use. Bathrooms were properly supplied and had functional fixtures. Hot water temperature was taken and was at a comfortable temperature. .