Facility Evaluation Report

On February 2, 2024, Licensing Program Analysts(LPAs) John Calandra and Grace Donato, arrived at the facility at 10:00 AM to conduct an unannounced Annual 1-year required inspection. LPAs Calandra and Donato met with Jerry Caspillan, Caretaker. Administrator/Licensee, Fernand Farol joined the visit later.

LPA Calandra toured the physical plant. This is a 1-story building that consists of 5 rooms and 2 bathrooms. Water in all bathrooms was measured between the required 105-120 degrees Fahrenheit. Bathrooms were observed to have the required grab bars and anti-skid mats. Fire extinguishers in the facility were observed to be fully charged and were checked while the LPAs were at the facility. The facility had the required 7 days of non-perishables and 2 days of perishables on site. No food was expired. The kitchen refrigerators and freezers temperature were within the required range. All bedrooms were sufficiently lit and had the required furniture. The backyard was clear from obstructions. No accessible bodies of water or hazards were observed. The facility's first aid kit was observed to be complete.

All knives and sharp objects were observed to be locked and in-accessible to persons in care.

All medications, soaps, and detergents were observed to be locked and in-accessible to persons in care.

A review of Centrally stored medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records kept at the facility.

Administrator, Fernand Farol does not currently have control of property. Administrator currently leases property from his parents but did not have a sublease agreement or the current lease agreement available for LPAs to review.