Facility Evaluation Report

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced Required 1-Year visit. The facility file was reviewed prior to the visit. LPA was greeted by, identified herself to, and explained the purpose of the visit with Caregiver Benjamin Macaspac. House Manager Ramil Macaspac arrived during the visit.

The facility is licensed for a maximum capacity of 4 clients, 1 of which may be non-ambulatory. During today’s visit, the facility had a census of 3 clients, 2 of which were non-ambulatory, Client 1 and Client 2 (C1 and C2). [House Manager was provided with an LIC811 Confidential Names List to identify both clients.] Both non-ambulatory clients were residing in rooms designated as ambulatory by the facility fire clearance. LPA spoke with House Manager Ramil Macaspac regarding the ambulatory status of clients. LPA did not observe any aspects of delayed egress or secured perimeter. The Administrator for the facility is Hector Obar and their certificate was valid and current.

During today’s visit, LPA toured the facility and inspected each room of the facility, including client rooms, bathrooms for client and staff use, kitchen, garage, common areas, and outside space. No bodies of water were observed near or on the premises. According to Ramil Macaspac, no firearms or weapons are stored on the premises. The facility was found to be clean, safe, and in good repair with no pathway obstructions. The facility’s water temperature was measured at 119.5 degrees Fahrenheit in a common bathroom for client use. The facility’s internal temperature was measured at 70 degrees Fahrenheit. LPA observed locked storage for all hazardous and/or toxic chemicals and were stored separately from food supplies. LPA also observed locked storage for client medications and client and staff files. Client medications are stored in their original container and label. LPA observed a 2-day supply of perishable food and a 7-day supply of non-perishable food present at the facility. The facility refrigerator was kept at 40 degrees Fahrenheit, and the facility freezer was kept at 0 degrees Fahrenheit.