Facility Evaluation Report

Licensing Program Analyst (LPA) Dang Nguyen made an unannounced visit to conduct a Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Caregiver Marlinda Anyayahan. LPA then met with Licensee/Administrator Caroline Macaraeg, who arrived shortly after.

According to the facility’s license, the facility has a maximum capacity for four (4) clients, of whom all must be ambulatory. Per LPA observation, LIC602 Physician’s Reports, and interviews: During today’s inspection, there were a total of four (4) clients in care, and all were ambulatory. LPA interviewed multiple staff and multiple clients. LPA also reviewed the care records for all clients, and the personnel and training files for all active staff. LPA, accompanied by Licensee, toured the interior and exterior of the facility and inspected all common areas and bedrooms.

During the facility tour, LPA observed: Inside the facility’s laundry room (which was left unlocked with door ajar), there was one 200 fluid ounce container of laundry detergent and some fabric softener accessible to clients. In the facility’s garage (which was unlocked and contains exercise machines used by clients), there was a can of penetrating lubricant accessible to clients. In the facility’s backyard, there was a gardening spade with a pointed metal blade longer than six inches accessible to clients. [During today's visit, facility staff immediately secured/locked away each of the above items.] Beyond the above issues, the facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows and screens, toilet, and shower were all working. Extra linens and hygiene supplies were present. [CONTINUED ON LIC 809-C]