Facility Evaluation Report

On 10/21/2021, Licensing Program Analyst (LPA) Don Senaha conducted an unannounced annual required visit with a primary focus on Infection Control measures using the new CARE Inspection Tool. LPA met with Administrator Edna Lacanilao and explained the purpose of today’s visit. The facility is licensed to operate for six (6) non-ambulatory elderly residents ages 60 and above. The facility is approved for two (2) bedridden and three (3) hospice.

The facility is a single-story structure located in a residential neighborhood. The facility consists of the following: four (4) resident's rooms, two (2) bathrooms, a living room area, dining area and kitchen. There is an attached garage with access only through the garage door. There is a refrigerator and laundry area in the garage. There is a shaded patio area with ample seating area for the residents.

LPA and administrator toured the physical plant. There are no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting provided, storage for resident personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured between 105.1 F to 106.6 F in the kitchen and bathrooms. A comfortable temperature of 74 degrees was maintained in the facility.

Evaluation Report Continues on LIC 809-C.