Facility Evaluation Report

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Joi Mae Guabalane ,Administrator, and discussed the purpose of the visit.

The facility is a Residential Care Facility for the Elderly (RCFE). License capacity of (6) with a current census of (6). Facility is operating within capacity. LPA conducted an overall inspection of the facility, which included, but was not limited to, the following:

LPA inspected the facility inside and out. Indoor and outdoor passageways are free of obstruction. The facility has sufficient lighting and is maintained at a comfortable temperature. Facility has no outdoor bodies of water. Facility backyard is enclosed by a fence with self-closing gates and covered patio is sufficient for outdoor client use.

LPA inspected the kitchen. The refrigerator and freezer are operating in a healthful manner. Hot water temperature is maintained at 105 degrees F. Facility has sufficient non-perishable and perishable food supply for clients in care. Facility has sufficient cups, plates, and utensils for client use.

LPA inspected client bedrooms. Bedrooms are equipped with beds, bed linen, nightstands, chairs, and sufficient lighting.

LPA inspected client bathrooms. Bathroom equipment is operating in safe and sanitary conditions. Bathroom hot water temperatures tested between 105 and 110 degrees F.