Facility Evaluation Report

Licensing Program Analysts (LPAs), Kathrina Chin and Jessica Cho made an announced visit for a pre-licensing evaluation. LPAs met with Janella Cervania, Applicant and Karmian Calangi, Applicant/Administrator. The facility has four bedrooms and two full bathrooms and one half bath. This is a single story with a two car garage facility. The inspection is as follows:

A fire clearance was granted on August 23, 2022 for 5 non-ambulatory and 1 bedridden. The facility is requesting for a hospice waiver for 4 residents.

LPAs toured the facility, interior and exterior, including all resident bedrooms. The hot water temperature was tested in the resident bathrooms and observed to be 79.8 degrees Fahrenheit. One fire extinguisher was mounted and charged. Smoke detectors were centrally wired throughout and have been checked by the fire department. Carbon monoxide detectors are operational. There is sufficient supply of linens. There are non-skid mats in the showers.

There was one locked medication closet and one first aid kit. There were several locked closets for storage of toxins and cleaning equipments. All exits have auditory devices. The kitchen area was checked. Karmian Calangi stated that she will post activity calendars, theft and loss policy, residents rights, admission agreement, and emergency plans. The facility needs to post an Ombudsman and Let Us Know posters. LPA reviewed the outdoor area and there were outdoor furniture but no umbrella for shade.