Facility Evaluation Report

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Required Annual Inspection. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Caregiver Angelito Monzon. LPA then met and spoke with Licensees Bernardo and Felicidad Aquino, who arrived later during the visit.

According to the facility’s license, the facility has a maximum capacity for six (6) clients, of whom all may be ambulatory or non-ambulatory, but none may be bedridden. Per LPA observation, staff interviews, and review of clients’ LIC602 Physician’s Report: During today’s visit, there were a total of six (6) clients in care, of whom one (1) was non-ambulatory, five (5) were ambulatory, and none were bedridden. This facility’s license does not include endorsements for secured perimeter or delayed egress doors, and none of these were present during the visit.

During today’s visit, LPA interviewed multiple staff and clients. LPA reviewed all staff and resident records/files. LPA, accompanied by Licensee’s staff, also toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in general good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities.