Facility Evaluation Report

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced annual required inspection and was greeted by 2 staff (S1 and S2). Administrator (ADM) Nenita Abad was not at the facility during the time of the visit due to prior commitment. Licensee (LIC) Merle Laurel arrived at the facility at 0915 hrs.

The facility is licensed for adults 60 and over; 5 may be non-ambulatory. 1 bedridden (room 3) and approved for 2 hospice waiver.

LPA observed 6 residents were present, 3 out of 6 was watching TV, 1 out of 6 was outside by the front yard and 2 out of 6 were in the bedroom resting.

LPA toured the facility, including common areas, resident rooms, kitchen, bathrooms, driveway, and outdoor spaces and storage areas. Indoor temperature was within acceptable range of 68°F. The kitchen was sanitary and organized; knives and chemicals were locked. Food supply met requirements (2 days perishable, 7 days non-perishable). Kitchen water temperature measured at 1106.1°F. Bathroom water temperature ranged from 105.8°F

Bathrooms had grab bars and non-skid mats; resident rooms had adequate storage. Medications were locked and inaccessible to residents; first aid kit was complete. Outdoor areas were free of hazards; laundry appliances were functional, and cleaning supplies were secured. Fire, smoke, and carbon monoxide systems were operational; hallways were clear and well-lit.