Facility Evaluation Report

Licensing Program Analyst (LPA) Tammer de los Santos visited the facility to conduct an annual required licensing inspection. LPA was granted entry into the facility by Caregiver Menchie Guevarra to whom LPA disclosed the purpose of the visit. Licensee Novelita Domdom and Daisy Domdom arrived later.

During today's visit, LPA toured the facility and verified compliance with infection control practices. LPA observed one central entry point for universal entry screening; temperature check initiated at entry for staff, residents, and visitors; signs in the facility to promote hand hygiene, cough / sneeze etiquette, symptom, and transmission awareness; face coverings worn by staff; hand sanitizer readily available; available visitation area; emergency agencies’ contact information visible to staff; and an ample supply of cleaning products and personal protective equipment.

No deficiencies were cited during today’s visit. An exit interview was conducted with Licensee Novelita Domdom and Administrator Daisy Domdom-Juanitas, and copies of this report and Licensee Rights (LIC 9058) were provided at the conclusion of the visit