Facility Evaluation Report

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose to conduct the Required 1 Year Annual Inspection. LPA was greeted by Care Staff (CS) Vilma Tumale and was granted entry. Licensee Ariel Resureccion arrived on premise approximately 10:00am and was advised of the visit.

This is a single story, Level 4a facility comprised of six client bedrooms with two client bathrooms, living/dining area, kitchen, attached laundry room and a two-car garage, and one shed in the backyard. LPA toured inside the facility. LPA observed the client bedrooms had all the required elements with ample lighting. Showers, faucets, and toilets were clean and sanitary. The hot water temperature measured at 115.8 and 116.0 degrees Fahrenheit in the two bathrooms. There were sufficient and clean supply of linens. LPA observed ample two-day supply of perishables and seven-day supply of non-perishables. LPA observed emergency food and water supplies. The carbon monoxide and smoke detectors were tested and operational. The fire extinguisher was mounted, charged, and serviced on March 19, 2024. Medications, toxins, and sharps were locked and inaccessible to the clients. LPA toured the outside grounds. Both exit gates were self-closing and self-latching.There was sufficient shading and seating for the clients. The following items were posted and reviewed: Emergency Disaster Plan (LIC610D), food menu, activities, client's rights, and the Complaint Poster (PUB475). LPA reviewed five out of five client files, three out of five clients' medications as one client was admitted to the hospital and the other was staying with their family, and four out of five P&I funds as one client's funds were managed by the family. Based on the review of the P&I ledgers, it appeared that facility was not documenting the ledgers accurately. LPA also reviewed one out of the one staff file and attempted interviews with two clients and one staff who was present at the time of interview.