Facility Evaluation Report

On 04/27/24 at 8:25AM, Licensing Program Analyst (LPA) Gina Saucedo, arrived to conduct an unannounced, annual inspection at the facility. Upon arrival, LPA Saucedo met with caregiver Anabelle Pascua and disclosed the purpose of the visit. Thresiamma Mathew the licensee arrived about forty (40) minutes later.

LPA asked for the census, resident, and staff files.

A physical tour was conducted at 9:40 AM and observed the following:

The Kitchen area was toured, and LPA observed there to be sufficient seven (7) day supply of non-perishable foods and perishable food for all residents. There is one (1) refrigerator and one (1) pantry area with extra food. The kitchen area was clean at the time of the tour. Under the kitchen sink the knives and chemicals are kept locked and inaccessible to the residents. On your right-hand side of the kitchen the fire extinguisher is located fully charged with an expiration date of May 2024.

Outside/Backyard: The outside/backyard has furniture for the residents with proper seating. The facility does has a signal system. The facility does not have a pool or any bodies of water. The outside/backyard can be accessed from the dining/living room area and hallway area. There is two sheds in the backyard with resident property and extra wheelchairs and bedding. The washer and dryer are located outside in the backyard. By the washer and dryer there are two doors where there is access to one (1) storage area and one (1) office.