Facility Evaluation Report

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection visit, and met with Administrator (ADM) EMMANUEL FERNANDO .

LPA toured the facility inside and out with ADM. 3 residents went to day program. 1 staff were observed in the facility.

LPA reviewed 2 resident files (R1, R2) and 2 staff files (S1, S2). The appraisal needs and service plan of resident R1 was found over 12 months. Staff S2 was found not associated with the facility. ADM showed the document that S2 was associated with the facility in 2022. ADM shows the document that S2 was associated with Meridian Manor II.

License, and personal rights posters were observed in the facility. ADM provided all the documents that he/she renew the Administrator Certificate. Living room, family room, kitchen, dinning room and two restrooms were inspected. Three single resident bedrooms, a office, and laundry room were inspected. Two day perishable food supplies and seven day nonperishable food supplies were observed sufficient. Medication closet, knives closet, and cleaning product closet were observed locked. Room temperature was at 71 degree F, and hot water temperature was at 110 degree F in facility. The temperature of the refrigerator was at 42 degree F, and the temperature of the freezer was at 0 degree F.

Fire extinguisher was serviced on 06/28/2024. The facility was equipped with fire alarm system, and smoke and carbon monoxide detectors. ADM tested the carbon monoxide detectors and they were working fine. Front yard and backyard were inspected. There was no obstruction to block the walkways. One storage room was observed at the backyard. Emergency light system, flash lights, night lights and first aid box were observed in the facility.