Facility Evaluation Report

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct an annual inspection. LPA met with Administrator Daisyree Tacandong during today's inspection.

LPA toured facility with administrator to ensure health and safety of residents in care. LPA toured 6 resident rooms, 2 bathrooms, kitchen, common living spaces, and backyard. LPA observed rooms built in the garage, Administrator stated rooms are used for storage only and no staff sleep in that area. In the areas toured no immediate health, safety, or personal rights violations were observed. Hot water was measured at 112 degrees. There is a locked storage for medications and toxins. Food supply is adequate for 2-day perishable and 7-day nonperishable. LPA observed an adequate amount of linens and found the first aid kit to be complete.

LPA reviewed 3 of 6 resident files and 2 staff files. LPA reviewed medications of three residents comparing with Centrally Stored Medication Record and physician orders. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility.

Exit interview completed. Appeal rights provided.