Facility Evaluation Report

Licensing Program Analysts (LPAs) Michael Tea And Fred Arias conducted an unannounced visit. The purpose of today’s visit was to conduct the Annual Required inspection. LPA Tea and LPA Arias was greeted and granted entry into the facility by house manager, Erminda Manez Alipio and explained the reason for the visit. Assistant Administrators (AA) David Alipio and Neome Golfo arrived shortly to assist with the visit. Facility is licensed for 4 ambulatory clients. Currently there are four clients residing.

Around 1:40 PM, LPAs Tea and Arias reviewed four client files and three staff files. Client files and staff files contained all required documentation. While reviewing client files, LPAs discovered one client to have a non-ambulatory status reported on the physician’s report. Upon review of records, the facility is up to date with required quarterly emergency disaster drills, which was last conducted on September 5, 2024. AD Mark John Alipio’s administrator certificate has an expiration date of January 2, 2025.

LPAs Tea and Arias along with the HM Alipio toured the facility at 2:44 PM. LPA toured the physical plant, checked food service, and the first aid kit. The facility is a single-story home that consists of 4 client bedrooms, 2 bathrooms, living room, dining room, kitchen, sunroom/office area and attached garage. LPAs observed smoke detectors/carbon monoxide in common areas and bedrooms are operational. Client bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Client bathrooms were checked. During facility tour, one bathroom had toxins out and LPAs advised that they should be stored and locked and made inaccessible to clients in care. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured around 113.3 F degrees. Client bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the required elements including bandages, tweezers, thermometer, and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit.