Facility Evaluation Report

On 08/27/2024, Licensing Program Analyst (LPA) Vado Jaime Vado conducted an unannounced annual required inspection visit. LPA met with administrator Wilma Deguzman. There are currently 5 residents in the facility and one resident is out of the facility with family.

This is a single level facility licensed for residents age range of 60 years and over all of which may be non-ambulatory. License is approved for 3 hospice residents. There is 1 hospice resident as of today's inspection visit. The physical plant was toured inside and outside of the facility to ensure the safety of the clients. There are no video cameras on site per the administrator. LPA observed the facility kitchen which is clean and observed appliances that are in good repair. Knives are stored and locked in in kitchen drawer adjacent to the stove. Perishable and non-perishable food items are observed as in place. There is an additional refrigerator and freezer in the garage area which carries additional food supplies for resident use. First aid kit is observed as complete with required items. Medications are observed to be locked in the kitchen in a lockable cabinet. LPA observed that there are two fire extinguishers in place which are currently within operating range, smoke detector, carbon monoxide detectors are observed in place through out the facility, and central heating. Facility is not equipped with fire sprinklers. PPE is observed to be in place stored in a closet within a resident bathroom. Laundry area is also observed as fully operational in the garage. Emergency exit routes are observed inside and outside to be free and clear of obstructions. Last emergency/disaster drill was conducted on 08/27/2024. Water temperature was measured at 107F. Cleaning supplies are observed to be locked in beneath the kitchen sink and additional toxins and cleaning supplies are observed to be locked in the garage.