Facility Evaluation Report

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced annual required inspection and met with the designated administrator (DADM) Ninfa Gozon and stated the purpose of the visit. Licensee/Administrator Marie Janice Foronda-Cayabyab arrived at the facility at 9:45 a.m. and left at 12:00 for a prior commitment.

The facility is licensed for adults 18 to 59, approved for 15 be non-ambulatory. 6 maybe bedridden, all rooms are approved for bedridden. LPA observed staff present, and 14 out of 15 residents were out attending day program, 1 out of 15 was present at the facility and resting in his/her respective room.

LPA toured the facility, including common areas, resident rooms, kitchen, bathrooms, garage, and outdoor spaces. 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 116.8°F. Bathroom water temperature ranged from 105°F to 119.1°F.

Bathrooms had grab bars and non-skid mats; resident rooms had adequate storage.

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 and well-lit.