Facility Evaluation Report

On October 10, 2024 Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. Upon entrance, LPA was greeted by caregiver, Karrie Mina and LPA explained the purpose of today's visit. Caregiver informed Licensee, Romar Raquino over the phone of LPA's visit. The lead staff, Rudy Marcos arrived shortly thereafter and assisted with the inspection.

LPA toured the facility inside and outside including the bedrooms (4 private rooms), 2 full- bathrooms, kitchen, living room and common areas. The facility observed to clean, tidy and in good repair. Bedrooms were equipped with the required furniture for residents to use. Bathrooms are equipped with grab bars, and non-skid mats. Facility temperature is comfortable. Hot water temperatures in the kitchen and bathroom was measured at 105- 108 degrees F.

Central stored medication, toxins and sharps objects were observed to be locked and inaccessible to residents.

Food supplies were observed to be adequate,

Facility is equipped with smoke detectors and carbon monoxide detectors. Fire extinguishers were last inspected on 9/9/2024.

LPA reviewed P & I records for 4 residents to be adequate.

A review of (4) resident files was conducted and noted on the LIC 858.

A review of (3) staff files was conducted and noted on the LIC 859.