Facility Evaluation Report

Licensing Program Analyst LPA Marcela Yanez met with Administrator Madonna Dumantay During the visit, LPA observed 5 residents and 4 staff. LPA explained the purpose of the visit. the facility is approved for age range 18 through 59. Approved for four (4) ambulatory and two (2) non ambulatory in room 4.

LPA toured the facility inside out with ADM which included the Living room, kitchen, refrigerator temperature measured 39 degrees F and freezer measured at 0 Degrees F, dining room, 2 restrooms that had grab bars and non skid mats and 3 residents bedrooms.

While touring the facility LPA observed 5 of 6 residents in activity room and living room listening to Christmas music and watching Television. 1 resident is in skilled nursing facility.

During inspection LPA observed 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 111.3 degrees F in resident bathroom #1 and bathroom #2 at 108.1 degrees F.

The staff bedroom was also inspected. The front yard and backyard were inspected. There was no obstruction to block the walkways and ramp.