Facility Evaluation Report

On 12/20/2022 at 9:47 a.m. Licensing Program Analyst (LPA) Evelin Rios arrived at the facility mentioned above to conduct a Required Annual/Infection Control inspection. LPA was greeted by Staff #1 (S1) who was wearing a mask and granted access. S1 took LPAs temperature and asked LPA to sign in. S1 called another staff Joselito Bishasa to continue assisting LPA. LPA asked Joselito to call administrator JoJo Cajayon. Jojo called Joselito and LPA explained the reason for the visit and asked if he would be joining us. Jojo was an hour away and designated Joselito to sign today's report. The inspection tool was used to complete the visit.

At 10:06 a.m. LPA began a physical plant tour of the facility and the following was observed:

Infection Control: LPA observed appropriate infection control signs posted in front of the door. Upon entry three out of three staff were wearing masks. LPA observed appropriate signs along the entry and hand washing signs in two out of two bathrooms. Trash cans with tight fitting lids were observed in the kitchen, bathrooms and resident rooms. Joselito states the facility has enough PPE for 30 days.

Dining / Living Area: The dining and living area were well lit, clean and clear of clutter. Furniture appeared clean and in good repair. A fireplace located in the living area is not in use. In the hallway by the dining area LPA observed the thermostat at a comfortable temperature of 76°F. The fire extinguisher was observed by the dining table and was last serviced on 04/29/2022. Dining table was clean and clear clutter. Furniture appeared to be clean and in good repair.

Kitchen: LPA observed the kitchen to be clean and clear of clutter. All appliances were operative. Cleaning solutions are locked under the sink. Knives are kept locked in a kitchen drawer inaccessible to residents. LPA observed a 2-day perishable and 7-day non-perishable supply of food.