Facility Evaluation Report

On 12/04/23 Licensing Program Analyst (LPA) Javina George arrived unannounced to the facility noted above to conduct an annual inspection. LPA was greeted and granted entry by Caregiver Bituin Mendoza. LPA met with the Administrator Annalisa Blancaflor, who arrived after LPAs arrival. Below is an account of LPAs observations of the conducted inspection:

The facility was observed to be within the licensed capacity (6). At the time of LPAs visit all residents were asleep taking their afternoon naps. LPA was able to successfully conduct one (1) resident interview. LPA was unable to check the mattresses. LPA observed for the resident bedrooms to have night stands, storage space, and sufficient lighting. The facility temperatures were comfortable for residents in care.

LPA measured the hot water temperature in two (2) resident bathrooms, initially the water temperature was too hot, the water heater was adjusted and the water temperature ranges were retested and observed to be within regulatory limits of ranging from 115-117 degrees Fahrenheit. The carbon monoxide and smoke detectors were tested and were observed to be operable.

The facility was stocked with a 2-day supply of perishable and 7-day supply of non-perishable food items that were labeled appropriately.

The facility administrator certificate expired and the renewal packet was sent off the month after it was due (10/2023). The administrator will send proof of completion to the department by 5pm on 12/5/23. In addition the Administrator's CPR/First Aid expired on 06/19/2020. Deficiency cited .