Facility Evaluation Report

On 7/9/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Sally Dela Cueva, Administrator and explained the purpose of the visit.

LPA toured the physical plant. This is a 1-story building with three bathrooms, two bathrooms, front yard, backyard, garage, kitchen, living room, dining room and family room. The facility was maintained at a comfortable temperature of 70 degrees Fahrenheit. The water temperature was measured within the required range of 105-120 degrees Fahrenheit. All bedrooms had the required furniture and sufficient lighting. No accessible bodies of water or hazards were observed in the hallways, back or front yards. The facility's fire extinguishers were last checked on April 10, 2025. Per an interview with Administrator, Sally Dela Cueva, the facility's smoke alarms and carbon monoxide detectors are connected directly to the fire department. The first aid kit contained the required items such as sterile dressings, bandages, adhesive tape, scissors, tweezers, thermometers, antiseptic solution and guide. The facility has the required 7 days of non-perishables and 2 days of perishables on hand.

All sharp objects, poisons and cleaning supplies 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.

LPA received copies of the facility's current LIC 500 and Bond.

LPA reviewed 4 client records and 5 staff records. All were observed to be complete.

No deficiencies were cited during today's visit.

An exit interview was conducted. This report was reviewed with Sally Dela Cueva, Administrator and a copy of the report left at the facility.