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), Michelle Pagkalinawan.

During visit, LPA toured the facility with ADM to include all the resident bedrooms, 3 bathrooms, hallways, kitchen, dining room, living room, garage, shed and exterior. The shed contains storage items. The facility currently has 6 out of 6 hospice care residents. 4 facility staff present are fingerprint cleared and associated to the facility.

Facility temperature maintained at 75 degrees F. The stairways, ramps, and hand railings observed sturdy and in good repair. Fire exit routes are free and clear of obstruction. LPA observed the exit door next to the laundry machines and front door contains a door alarm that was not functioning. ADM has a plan to replace the batteries for the door alarms. Fire extinguisher last serviced on 09/16/2024. There are 2 operable carbon monoxide detectors in each wing of the facility. Resident bedrooms equipped with beds, linens, dressers, night stands and adequate lighting. Bathrooms equipped with soap, paper supplies, and hand washing signs. The bathtub contains a non-slip mat. The bathroom hot water temperature next to room #5 was initially measured at 133 degrees F and the hot water temperature next to room #7 was measured at 117 degrees F. Both bathrooms share the same hot water furnace. During visit, the ADM turned down the hot water temperature. LPA measured the bathroom hot water temperature next to room #5 and #7 maintained at 117 degrees F. See LIC809C.