Facility Evaluation Report

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced required Annual Inspection. The facility file was reviewed prior to the visit. LPA Lopez identified herself, was granted entry by caregiver Genn E. Macaoile. LPA discussed the purpose of the visit with Licensee Jose Pangan and Administrator Eliza Pangan who later arrived and joined the visit.

According to the facility’s license, there may be a maximum of six (6) clients all of whom may be non-ambulatory in in bedroom 1, 3, 4 and 5 with bedroom 5 approved for a bedridden client, in at any given time at the facility site. During today’s inspection, the facility’s current census is three (3) clients living at the facility. There were two (2) clients present at the facility site during the inspection.

LPA, accompanied by Administrator Pangan and caregiver Macaoile, 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, 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 activities.

The facility’s ambient internal temperature was comfortable and compliant, at 75 degrees Fahrenheit (F). Hot water temperature at taps accessible to clients were also compliant: kitchen sinks measured hot water at 112.8 degrees F; sink in restroom #1 delivered hot water at 105.9 degrees F; sink in restroom #2 delivered hot water at 107.8; and sink in restroom #3 measured hot water at 108.7 degrees F.

There was at least 2 days of perishable food, and at least 7 days non-perishable food present. Cooking and dining equipment and utensils were present, and all safely stored. There were no toxic chemicals and poisons accessible to clients. Medications were properly labeled, as required, and stored in locked cabinet. The facility-maintained medication logs which LPA reviewed.