Facility Evaluation Report

Licensing Program Analyst (LPA) Ruth Martinez made an unannounced case management visit for a Health & Safety check. Administrator Shaleemar Balignasay was present during the visit and assisted with the inspection.

LPA observed three residents in the living room watching a TV and one resident in their bedroom. LPA observed residents to be in clean clothes. LPA, conducted a tour of the physical plant. LPA inspected the resident bedrooms and observed them to be free of hazards. LPA observed residents' bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed the lights in each of the resident bedrooms to be operational. The water and toilets in bathrooms were operational. The hot water temperature measured 113.1 degrees Fahrenheit. LPA observed the facility has a two day perishable and seven day nonperishable food supply on hand. LPA observed kitchen appliances to be clean and operational. LPA observed the four burner gas stove in operation during the visit. Knives and sharps objects are kept locked in a kitchen drawer. LPA observed the facility has a three day emergency food and water supply stored in the garage. Facility has a spare refrigerator located in the garage with additional food supply. LPA additionally conducted interviews. Staff interview stated that 2 of 2 employees received their pay but they still are owed from previous pay periods. LPA verified carbon monoxide and smoke detectors were operational. Fire extinguisher was mounted on the wall of the kitchen with service date of April 9, 2025. LPA inspected that medication is centrally stored in a safe locked storage cabinet located in the bedroom hallway. LPA reviewed medication and observed medication was labeled and stored inaccessible to residents in care. LPA observed the first aid kit, and a first aid manual. Cleaning/toxins chemical are kept locked in the garage and the garage is used for storage, a washer and a dryer located in garage. LPA toured the