Facility Evaluation Report

On 5/22/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Champ Mina, Direct Support Professional/Administrator and Louie Delarosa, Direct Support Professional and explained the purpose of the visit. Romar Raquinio, Administrator/Licensee arrived later during the visit.

LPA Calandra toured the physical plant. This is a 1-story building with 4 bedrooms, 3 bathrooms, a living room, dining room, kitchen, laundry room, garage, front and back yards. All bedrooms had the required furniture and sufficient lighting. No accessible bodies of water or hazards were observed in hallways or the backyard. The facility's fire alarms and Carbon Monoxide detector were observed to be in working order.The facility's first aid kit was observed to have all required items. The facility's hot water temperature was measured within the required 105-120 degrees Fahrenheit. The facility had the required 7 days of non perishables and 2 days of perishables on site. No food was expired. The facility was maintained at a comfortable temperature of 70 degrees Fahrenheit. The facility's fire extinguishers were observed to be fully charged and last checked on 5/13/2025.

LPA reviewed 4 staff files and 3 resident files. All were observed to be complete.

All knives, sharp objects, detergent, soap, and poisons were observed to be locked and in-accessible to persons in care.

All P&I monies were accounted for and matched the records kept at the facility.

A review of Centrally stored medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records kept at the facility.

No deficiencies cited during today's visit.

An exit interview was conducted. This report was reviewed with Romar Raquinio, Administrator/Licensee, Champ Mina, DSP/Administrator, and Louie Delarosa.