Facility Evaluation Report

On September 11, 2024, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual inspection. LPA met with Administrator, Mona Rojas and House Manager, Naina Bulaong and explained the purpose of the visit.

LPA toured the facility inside and outside including all of resident rooms, common areas & kitchen. The indoor and outdoor passageways were free of obstruction. No accessible bodies of water of fire safety hazards observed. LPA observed four resident bedrooms, all of which are private room. Bedrooms were observed to be clean, in good repair with all required furniture. Two full bathrooms were observed to be clean, equipped with liquid soap, paper towels, and non-skid mats.

Living room and dining room were observed to be free from tripping hazards. A comfortable temperature is maintained and lighting is sufficient for comfort. LPA toured kitchen and observed two day perishable and seven day non-perishables. Sharps, chemicals and medications were observed to be locked an inaccessible to clients. Water temperature throughout the facility measured at 110 degrees F. Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current as of January 2024. Emergency fire and disaster drills are logged and conducted every three month. First aid kit was observed to be present. LPA toured the garage and observed washer and dryer.

LPA reviewed 4 resident records and 4 staff records. Resident records are updated, complete and signed. Staff records are complete and training logs are up to date. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. Facility has a facility van that gets serviced every 3-6 months.

No deficiencies are cited during the visit. Report is reviewed Administrator and a copy is provided.