Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Staff member Shirle Asuncion (S1) . During visit, LPA observed 5 residents and 4 staff. S1 called Administrator (ADM) Sharon Basa. ADM stated S1 can sign on her behalf.

LPA toured the facility inside out with S1 which included; the Living room, kitchen, dining room, 2 restrooms and 3 residents bedrooms. While touring the residents bedrooms, LPA observed bedroom 2 & 3 did not have a night stand. (Photograph was taken). LPA asked S1 for ADM's phone number. LPA called ADM, and ADM confirmed that both bedrooms did not have nights stands. The staff area of the facility was also inspected. Front yard and backyard were inspected.

While touring the facility LPA observed a stack of 3 green chairs blocking the front door entrance obstructing (Photograph was taken.) While touring the backyard, LPA observed a cleaning powder, Comet, accessible to residents in care. The container was located directly outside of the kitchen/dinning area. S1 stated the residents do have access to the backyard. (photographs were taken)

Two day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication closet, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 70 degrees F, and hot water temperature was measured at 116 degrees F in both resident bathrooms.