Facility Evaluation Report

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one year infection control annual visit. LPA was greeted, granted entry by staff and explained the reason for the visit. LPA Haley was temperature checked and screened before entering the facility. Administrator (AD) Mansueto Conanan was present for the visit. AD Conanan has a current administrators certificate that expires 03/11/24.

At 9:50 AM LPA Haley and AD Conanan began the inspection at the entrance of the facility. A screening station with hand sanitizer and screening logs was observed right next to the front door. There were six clients present during the visit. Near the front door there is a client room and bathroom. There's also a closet near the front door use for staff clothing.

Clients bedrooms were clean, organized, and had all necessary requirements: night stand, chair, lamp and storage space. The client bathroom were clean and organized. Hot water temperature was measured at 108.8 degrees Fahrenheit in bathroom #1 and 113.3 degrees Fahrenheit in bathroom #2. In the hallway cabinets near the client rooms, LPA observed plenty of clean linen.

LPA Haley observed a locked medication cabinet in the living room used to store client medication. There's an open office room with a desk and computer. In the office LPA observed a locked cabinet with client and staff files. An emergency supply of PPE supplies: N95 face mask, hand sanitizer, gowns and gloves was observed in the locked cabinet .

The kitchen entrance is blocked by a child safety gate and remains locked and inaccessible to clients. In the kitchen LPA Haley observed knives and sharp objects locked in a drawer next to the sink. All burners on the stove were operational. All hazardous chemicals were locked under the kitchen sink. LPA Haley observed a 2 day supply of perishable items and a 7 day supply of non-perishable items.