Facility Evaluation Report

Licensing Program Analyst (LPA) Maja Jensen arrived at the facility unannounced to conduct a required 1-year annual visit. LPA Jensen met with Licensee/Administrator Redentor Magsayo and explained the purpose of today's visit. Redentor holds a current Administrator certificate # 6014649735 which expires on 4/11/24.

The facility is a single story building with 5 bedrooms. 4 of 5 bedrooms are designated for clients and 1 of 5 bedrooms is designated for staff. The facility currently houses 4 residents of which 2 are non-ambulatory. Every resident bedroom has an exit door to the outside. During the course of the visit LPA Jensen engaged with both clients and staff members. The facility was clean, sanitary, free of odor and in good repair. The grounds were well maintained and free of debris. There is a single designated entry point with COVID signs posted and a screening table set up. LPA Jensen was not screened upon entering and 3 of 3 staff observed were not wearing masks. LPA Jensen toured the facility including 4 of 4 bedrooms, 2 bathrooms, kitchen, dining room, living room, staff room and grounds. The facility was observed to have adequate lighting, including night lights and adequate furnishings that were in good repair for the comfort of the residents. The thermostat was set at 75 degrees which falls within the required regulatory range. The hot water in 2 of 2 bathrooms and the kitchen was measured and also falls within the required regulatory range. The bathrooms were equipped with grab bars and non-slip mats in the bath/shower.

An activity schedule and the LIC 610 was prominently posted. The LIC 610 was reviewed and in compliance. The facility was observed to have a first aid kit that was complete with but not limited to scissors, tweezers, thermometer, manual, wound care and sterile dressings. The fire extinguisher was last serviced on 7/2/22 and is in compliance. The carbon monoxide detector was tested and is in good working order. The fire drill log was reviewed and LPA Jensen observed that fire drills are conducted monthly.