Facility Evaluation Report

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection LPA met with staff Mildred Manuel and Marionito M Delacruz and was granted entry to the facility. The Administrator Krisitine Mangente was contacted and informed about today’s visit. The facility is a six (6) bedroom, three (3), bathroom facility, with a kitchen/dining area, living area and attached garage. Licensed capacity is six (6) current census three (3). LPA was accompanied by staff Mildred Manuel to conduct a general overall inspection, which included, but was not limited to, the following:

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility was not maintained at a comfortable temperature. The outside temperature was 101 degrees F and the inside temperature of the facility was 88 degrees F. S1 and S2 informed LPA that the AC unit has been broken for three days. Fans will be placed throughout the facility until cool air is provided. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting. The bathrooms, kitchen and dining area were not clean. LPA Rico observed a cockroach inside a resident’s bathroom. LPA Rico also observed cockroaches inside the kitchen area. Facility’s floor surfaces in the bathroom, kitchen and hallways were observed dirty. In addition, LPA observed the facility did not have emergency supplies.

Furthermore, the facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated storage space for resident/staff files. Medications are kept inaccessible to clients.