Facility Evaluation Report

Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA Domingo was welcomed by, identified herself to, and discussed the purpose of the visit with Med Tech Supervisor Aurea De Leon Beltran .

According to the facility’s license, the facility serves twenty four (24) elderly residents age sixty (60) and above; twenty (20) of whom may be ambulatory and four (4) bedridden residents and six (6) Hospice residents. The facility is approved for delayed egress and secured perimeters. During today’s inspection, there were a total of fourteen (14) clients in care.

LPA, accompanied by licensee’s staff, toured the interior and exterior of the facility, and inspected each room. 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, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. Call box was available in each resident unit and were tested for functionality. Resident's room temperatures were within a comfortable range. The facility’s ambient internal temperature was 74 F. Hot water temperature at taps accessible to clients were all compliant: Kitchen sink was 110 F, Bathroom #1 sink was 112 F.