Facility Evaluation Report

On 9/10/2024 at 09:25 AM, Licensing Program Analysts (LPA) Melody Brown and Eldin Serrano made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection LPAs Brown and Serrano met with Licensee/Administrator Charisse Magsaysay and was granted entry to the facility. At the time of the visit there were two (2) staff present, and five (5) residents present.

The facility is a five (5) bedrooms, five (3.5) bathroom home with a kitchen/dining area, living room/activity room. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of six (6) non-ambulatory and six (6) hospice care and 1 maybe bedridden resident and the current census is five (5) residents. LPAs Brown and Serrano was accompanied by Staff #3 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 Division (CCLD). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 74 degrees Fahrenheit. LPAs Brown and Serrano inspected resident bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPAs Brown and Serrano observed sufficient furniture and lighting throughout the facility. LPAs Brown and Serrano measured and observed the water temperatures in the bathroom to be at 107 degrees F at Room # 5. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Fire extinguishers were also observed at the facility. Posters such as personal rights, the CCLD complaint poster, labor laws, and the disaster plan were posted in a common area. LPAs Brown and Serrano observed resident 2 (R2) and resident 3 (R3) have half bed rails. Licensee/Administrator Magsaysay reported to LPAs Brown and Serrano that R2 and R3 do not have written order from their physician indicating the need for half bed rail for mobility. Deficiency will be issued.