Facility Evaluation Report

On 8/9/2023 at 10:15am, Licensing Program Analysts (LPAs) Michael Bilger and Arvin Villanueva arrived at this facility unannounced to conduct a required annual inspection visit. LPAs met with the assistant administrator Ildefonso Letran and explained the purpose of the visit. Administrator Maricor Camero was made aware of LPAs visit and purpose.

LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 4 total bedrooms of which 3 bedrooms are occupied by the residents and 1 bedroom is occupied by staff. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. A comfortable temperature is maintained at 76 degrees Fahrenheit. The hot water temperature in the residents’ shared bathroom was measured between 105 and 120 degrees Fahrenheit. The fire extinguisher was last inspected on 3/10/2023 and all smoke alarms and carbon monoxide alarms were tested successfully. Residents’ bathrooms are equipped with grab bars and non-skid mats.

Facility has an emergency food supply. There is a minimum of 7-day supply of nonperishable and 2-day of perishable foods. All toxins and other dangerous items including sharp objects were locked and inaccessible. Medication storage area was observed to be locked and inaccessible. First aid kit was observed to have adequate supplies and accessible to staff.

All staff noted on LIC 500 contained criminal background clearances. LPA completed 2 staff interviews. {Cont. on 809C}