Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Kabariti arrived unannounced to conduct the facility's required 1 year annual inspection. LPA met with Administrator (ADM), Nenita Abad.

During visit, LPA toured the facility with ADM to include the living room, dining room, kitchen, 2 staff bedrooms, garage, 3 resident bedrooms, 3 bathrooms and exterior. All fire exit routes were free and clear of obstruction. All staff present are fingerprint cleared and associated to the facility.

Facility temperature maintained at 68 degrees F. Kitchen is equipped with at least 2 days worth of perishables and 7 days worth of non-perishable foods. Medications, sharp objects, chemicals and disinfectants observed locked. Refrigerator temperature maintained at 30 degrees F and freezer temperature maintained at 0 degrees F. Men's bathroom hot water temperature maintained at 111 degrees F. Women's bathroom hot water temperature maintained at 112.4 degrees F. Resident bedrooms equipped with beds, linens, dressers, night stand and adequate lighting. Sliding doors and screen doors observed well maintained. Fire extinguisher last serviced on 1/3/2025. Carbon monoxide detector observed operable.

3 resident records were reviewed and observed complete. 3 residents medications and centrally stored medication records were reviewed and all medications were accounted for. Facility has a PRN medication log for each resident. See LIC809-C.