Facility Evaluation Report
Unannounced annual visit made out to this facility on 01/25/2023 by Licensing Program Analysts (LPAs) Charlie Yang and Kimberly Viarella who were met by the facility caregivers, JoeRey Pastrana and Olivia Camanag. LPA Charlie Yang requested that the facility caregiver go ahead and contact the facility designated Administrator, Joyce Mae Mabunga, to inform her that CCL was present at this time.
The facility designated Administrator, Joyce Mae Mabunga, arrived later to this facility while the LPAs were conducting this annual visit. Brief interview was conducted with the facility designated Administrator.
Current census was (5) residents of which (2) are under the care of home health and (2) residents are under the care of hospice at this time.
This facility does have an approved hospice waiver to accept and retain up to (2) hospice residents at any given time.
Living area, dining area, and all other areas intended for resident use were observed to be furnished and maintained in compliance at this time.
Kitchen area was toured. Cabinets and drawers were reviewed. Knives and other sharp objects were observed to be locked and made inaccessible to the residents at this time.
Food supply was reviewed to make sure that there was a sufficient amount of 2-day perishable and 7-day nonperishable quantities at all times.
Medication cabinet, located in the kitchen area, was reviewed. Policies and procedures for handling, dispensing, and documentation of the resident medications was discussed with the facility designated Administrator. Dispensing log was also reviewed along with the Medication Administration Record.
A tour of the resident bedrooms was conducted. Furnishings and furniture were observed to be sufficient and maintained in compliance at this time.
A tour of the resident restrooms was conducted. Hot water temperatures were taken and measured to make sure that they were within the allowed range of 105-120 degrees at all times.
Grab bars and non skid mats were observed to be present and in good repair at this time.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction