Facility Evaluation Report

Licensing Program Analyst Ryker Heberle (LPA) conducted an unannounced annual inspection on 11/18/2021 at 02:05pm. LPA met with facility Licensee Benjamin Macasaet Administrator Jose Vitan (Admin).

Upon arrival at the facility, LPA observed no designated point of universal entry, nor any place to sign in. LPA waited at the entrance for 10 minutes and did not see staff. LPA went to administrator's office at 02:15 and spoke with Licensee and Administrator. Admin stated that the facility ceased to adhere to many COVID precautions months ago after all residents and staff had been vaccinated, including daily symptom monitoring of residents. No staff members or residents observed to be wearing masks. LPA was never screened for temperature or symptoms.

LPA toured the facility, including TV room, dining room, kitchen, office, laundry room, 10 bedrooms, 9 bathrooms, and courtyard. Facility noted to have 30-days supply of PPE. Facility public bathrooms were noted to contain adequate supply of paper towels and soap. Handwashing signs indicating that staff must wash hands for 20 seconds were not observed to be posted in bathrooms. Social distancing signs were not observed to be posted in all facility common areas..

No prohibited items noted in resident rooms. All emergency exits noted to be clear of obstruction. All rooms in facility noted to be adequately maintained. At least 2 days' supply of perishable food and at least 1 week's supply of non-perishable food was observed on the premises. Fire extinguishers observed to be inspected in 2021. Facility fire/carbon monoxide alarms tested and observed to be in working order.

Advisory noted were issued. This report was reviewed with Administrator Jose Vitan and a copy of this signed report was provided.