Facility Evaluation Report

On 07/15/24, Licensing Program Analyst (LPA) Kimberly Viarella made an unannounced visit to this facility to conduct an annual inspection. LPA identified herself upon arrival, stated the purpose of the visit and asked to speak with the Designated Facility Administrator (DFA). LPA met with Sherinie Buenviaje and a brief interview followed. LPA noted DFA’s certificate # 7022268735 and it expires on 10/02/2025.

LPA inspected 4 resident rooms. All had the required furniture furnishings and lighting to be in compliance at the present time. LPA also viewed staff quarters as depicted on facility sketch.

The LPA inspected the kitchen. All knives and sharps were locked and inaccessible to residents in care. The food supply was adequate for 2-day perishable and 7-day nonperishable. All foods in the refrigerator and freezer were packaged and dated appropriately. The fire extinguisher was last serviced on 03/13/24 by River City Fire Extinguisher Company and was in compliance at the time of inspection.

LPA inspected a total of 2 bathrooms. Each contained soap, paper towels, and trash cans with lids as required. Hot water was measured to ensure the temperature was between 105 and 120 degrees Fahrenheit in order to be in compliance.

The LPA observed medications were stored in a locked cabinet in the kitchen and inaccessible to residents in care. Medications were primarily the pill packs. LPA reviewed storage, dosing, and destruction procedures. A review of the First Aid kit by the LPA found it to be complete and in compliance.

The exterior of the building was inspected by the LPA. There were no bodies of water present and the yard was completely fenced in. There were also sitting areas in shaded locations in the rear of the house for residents to enjoy.