Facility Evaluation Report

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced annual required inspection and met with designated Administrator (DADM) Thelma Laserna and stated the purpose of the visit. Licensee/Administrator (LIC/ADM) Bernelett Taa was not present at the time of the visit due to prior commitment.

The facility is licensed for adults 60 and over 3 ambulatory and 2 may be non-ambulatory and 1 bedridden.

LPA observed 1 staff, 2 residents watching television in the living room, 1 resident was is being assisted with their activity of daily living (ADLs), 1 was in their room resting and 1 was out with family.

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 70°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 105°F. Bathroom water temperature ranged from 105°F to 110°F. Bathrooms had grab bars and non-skid mats; resident rooms had adequate storage. Residents rooms have storage that is sufficient to store their personal items. Residents room were kept organized and sanitary.

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 of any tripping hazard and well-lit.