Facility Evaluation Report

Licensing Program Analyst (LPA), Kathrina Chin conducted an unannounced visit for the purpose of conducting a required annual visit. LPA met with Leoncio Canlas, Administrator and explained the purpose of the visit.

The focus of the visit was Infection Control. The facility was toured with and the following was observed:

Covid signs were posted in the facility and a sanitization station was set up near the front entrance. LPA's temperature was taken upon arrival and a sign in sheet was available. Facility has required Department postings. Restrooms observed contained soap and toilet paper and paper towels. There are some PPE supplies at the facility.

LPA toured the facility inside and out. There are three residents residing in the facility. All residents appeared clean and well taken care of. LPA observed required postings in the facility as well as hand washing signs in the restrooms. All bathrooms observed had ample soap/sanitizer and appeared clean. Resident bedrooms appeared clean and sanitary. LPA observed the emergency disaster and evacuation plans. Facility has back-up emergency food and water supply. LPA reviewed the COVID-19 mitigation plan of the facility.

Smoke detectors and carbon monoxide detectors were operational. Bathrooms were observed to be in good repair; and provided with grab bars and non-skid floor mats. Hot water was measured at 112.2 degrees Fahrenheit. Facility met the minimum two day perishable and seven day non-perishable food stock requirements. Medications, cleaning supplies and sharp items were inaccessible to residents in care. Fire extinguishers were mounted and charged.

No deficiencies noted during this visit. An exit interview was conducted and a copy of this report was provided to Leoncio Canlas, Administrator.