Facility Evaluation Report

On 01/22/2024 at 9:20 a.m. Licensing Program Analyst (LPA) Evelin Rios arrived at the facility mentioned above to conduct a Required Annual Inspection. LPA was greeted by caregiver Jenny Franoso who granted access. Jenny asked LPA to sign in. Jenny called the administrator Jojo Cajayon and LPA explained the reason for the visit. Jojo could not meet LPA at the facility for todays visit, Jojo designated Jenny to sign today's report. The inspection tool was used to complete this visit. At the facility LPA observed two caregivers Jenny and staff #1 (S1).

At 9:35 a.m. LPA began a physical plant tour of the facility and the following was observed:

Dining / Living Area: LPA observed required postings by the facility entrance. The dining and living area were clean and clear of clutter. Furniture appeared clean and in good repair. A fireplace located in the living area was not in use and secured with a glass screen. In the hallway by the dining area, LPA observed the thermostat at a comfortable temperature of 76°F. Dining table was clean, clear of clutter and sits the capacity of the facility. The fire extinguisher was observed by the dining table fully charged last serviced on 05/26/2023.

Kitchen: LPA observed the kitchen to be clean and clear of clutter. Cleaning chemicals are locked under the sink. Knives and sharps are kept locked in a kitchen drawer inaccessible to residents. LPA observed a 2-day perishable and 7-day non-perishable supply of food; properly stored. LPA observed a small refrigerator locked and used for storing medication requiring refrigeration and a second refrigerator by the dining table.

LPA observed smoke detectors through out the facility that are interconnected and dual carbon monoxide. LPA observed S1 test the smoke/carbon detectors at 11:07 a.m. and it was observed to be functioning properly.