Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with staff S1, Ma Hernando. During the visit, LPA observed 6 residents and 2 staff. LPA explained the purpose of the visit.

LPA was informed by S1 that previous Administrator Juliet Morillo no longer works at the facility. S1 stated she is the new administrator. S1 stated she would send a copy of the documents required to process the change in Administrator.

LPA toured the facility inside out with S1 which included the Living room, kitchen, dining room, 3 restrooms and 5 residents bedrooms. There was no obstruction to block the walkways. The staff area of the facility was also inspected. The front yard and backyard were inspected. LPA observed a pool in the backyard of the facility. LPA inspected the black gate surrounding the pool. LPA noted the gate to be secure and the pool as inaccessible.

Two-day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication storage area, 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 resident bathrooms.