Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility's annual required - 1 year inspection. LPA met with staff, Ester Honrado. Administrator/Licensees Virgil and Amor Valin was unable to meet LPA at the facility.

LPA toured the facility with staff to include 5 resident bedrooms, staff bedrooms, living room, kitchen, laundry room, and backyard. All fire exits were free and clear of obstruction. 3 staff members present are fingerprint cleared and associated to the facility.

Fire extinguisher last serviced on 01/06/2025. Carbon monoxide detector observed operable. Fire place observed screened. Kitchen observed with at least 7 days worth of non-perishable foods and 2 days worth of perishable foods. Refrigerator temperature maintained 40 degrees Fahrenheit. Freezer temperature maintained at 0 degrees Fahrenheit. Chemicals observed secured.

LPA observed a resident's prescription injection that was accessible inside the refrigerator. All residents are able to access the refrigerator. Staff states they do not lock the resident's injections in the refrigerator. LPA advised to purchase a lock box/bag to place the refrigerated medications inside to ensure the medication is inaccessible to other residents in care. During visit, staff placed the resident's refrigerated medication in the staff living quarters which is off limits to the residents. Staff states that after the resident self administers their injection, they place the needle in the trash. It was stated that the facility does not have an appropriate container to properly dispose of the resident's needles. LPA advised to ensure needles are disposed of properly. See LIC809-C.