Facility Evaluation Report

On 8/1/2024, LPA Grace Donato conducted an unannounced annual visit to the facility. LPA met with care staff Nenita Bactad & Edwin Bactad. LPA explained the purpose of the visit.

LPA toured the facility inside and outside. While touring the facility it was observed that the temperature was af 70 deg F. Hot water was also tested and temperature was within required range. The residents have adequate amount of incontinence care items. All personal belongings are intact. All fire extinguishers have been checked. Medication review was done and all medications are accounted for and centrally stored medication records are updated.

Each resident rooms were checked. R1 & R3s sheets and mattresses are not intact and have holes or is torn. 4 carbon monoxide monitors are not working. There is no adequate amount of food for 2 days perishables and & 7 days non-perishable. Bathroom was observed to be in disrepair, handles in the shower area have caulking and shower floor needs to be updated.

Four staff records were reviewed. All staff has criminal record clearance and are associated with the facility. Based on record reviews, it was noted that the facility does not have updated CPR & First Aid training. Administrator certificates are not updated. Six resident records are checked and a lot of records are missing and needs to be updated. Facility doesn't have an updated record of Emergency Disaster drill log.

Care staff tried to contact the Administrator/Licensee but there was no reply.