Facility Evaluation Report

Unannounced Annual Licensing visit made out to this facility on 02/13/2025 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility caregiver, Alenn Querida, at this time. A brief interview was conducted with the facility caergiver at this time.

This LPA requested that the facility caregiver go ahead and contact the facility designated Administrator, Eunice Ronquillo, to inform her that CCL was present at this time. She arrived later to this facility while this LPA was conducting this annual visit.

This facility is licensed to serve up to (6) Non Ambulatory residents at any given time.

Current census was 4 residents, of which (2) of them, were out of the facility at this time at their respective day programs.

A tour of the facility kitchen area was conducted. Drawers and cabinets were opened and the items enclosed were reviewed at this time. Drawers housing knives and sharps were observed to be locked and made inaccessible to the residents at this time.

Cleaning agents, bleach, and other supplies were observed to be locked and made inaccessible to the residents at this time.

A review of the facility food supply was conducted. A review of the facility's 2-day perishable foods and 7-day nonperishable foods was conducted to make sure that there were sufficient quantities on hand at all times.

Medication cabinet, located in the kitchen cabinet, was reviewed. Policies and procedures involving handling, dispensing, and documentation of the resident medications were discussed with the facility designated staff member at this time. A review of the facility Medication Administration Record and dispensing log was conducted.

Medication cabinet was observed to be locked and made inaccessible to the residents at this time.

Living room, dining area, and all other areas intended for resident use were observed to be furnished and maintained in compliance at this time and able to meet the needs of the residents.