Facility Evaluation Report

On 05/17/23 at 08:35 AM, Licensing Program Analyst (LPA) Michelle Echeverria arrived at the facility unannounced to conduct a required Annual visit. LPA was greeted by Caregiver, Erlinda Spears and granted entrance. LPA introduced self and stated the purpose of the visit. LPA observed that there is currently 3 residents in the facility and 1 resident in day program. LPA began the tour of the facility with Caregiver Spears and ended the tour with Administrator, Leodigaerlan Panopio, who later arrived.

The facility has 5 bedrooms (4 for residents and 1 for staff), 2 bathrooms, a kitchen, dining area, living room, and backyard. LPA conducted a general overall inspection, which included, but was not limited to, the following:

Physical Plant: There are no obstructions to indoor and outdoor passageways. The facility is maintained at a 75 degrees Fahrenheit temperature. LPA inspected residents bedrooms; they are equipped with required furniture per regulations except for Resident (R1) bedroom. LPA observed that (R1) closet had boxes with diapers that the facility was using as storage. Technical violation issued. An adequate supply of linens stored in the hallway closet. LPA inspected residents bathrooms; bathrooms were clean and appliances were operating appropriately. LPA observed the drawer in the resident's bathroom broken. Deficiency issued. LPA tested the water temperature in the kitchen faucet which tested at 119.4 degrees Fahrenheit. The facility is equipped with operating fire extinguisher, smoke detectors and carbon monoxide alarms. Posters such as; the facility's license, personal rights, and visitor rules were posted in a common area. LPA observed that the emergency and disaster plan had not been reviewed since 10/07/15. Deficiency issued. Sharps and knives were kept locked in the kitchens cabinet. LPA observed cleaning supplies and toxins unlocked in the laundry's cabinet along with rubbing alcohol in (R1) bathroom beneath the sink inside the cabinet. Deficiency issued. There was a designated locked storage space for residents/staff files, first aid kit and medication. There are no pools, bodies of water, firearms or ammunition.