Facility Evaluation Report

Licensing Program Analyst (LPAs) Leslie Ngo-Castaneda and Gina Saucedo arrived at 9:45am and met with Maria Victoria Calaud for an annual visit. The licensee Rosalie Lewandowski was contacted and appeared at 10:15am then administrator Margaret Itchon was contacted as well and appeared for the visit at 11:12am.

At approximately 10:10 am team conducted a tour of the facility with the caregiver Maria Victoria Calaud and the following was observed:

Common Areas: Team toured all common areas of the facility. LPAs observed common areas to be very clean and tidy. LPAs observed the floors to be in very good condition. No obstructions and or tripping hazards throughout the facility. Furniture in common area was observed to be in good repair.

The facility maintains a comfortable temperature at 70 degrees Fahrenheit. LPAs observed fire extinguishers throughout the facility to be full and serviced 1.23.2023. The smoke/carbon monoxide detectors are operational. There are no issues with Fire Clearance.

Infection contro l : LPAs reviewed facility mitigation plan to make sure licensee was following current infection control recommendations. LPAs obtained a copy and reviewed the infection control plan during this visit.

Food Inspection: LPAs conducted a food inspection tour. LPA s observed there to be sufficient stock of two-day perishable and one week of non-perishable foods. The menu was posted for review (ARF), snacks and beverages are available for the resident in the facility when they want. Frozen foods are properly wrapped and stored appropriately and dated. Food storage and preparation areas are clean and inaccessible to pests. Garbage cans have tight fitting covers. Cleaning supplies, pesticides, and toxic cleaning supplies were stored and locked away. Continue to LIC 809-C