Facility Evaluation Report

Licensing Program Analyst (LPA) Maria (Mita) Partoza a conducted an unannounced required 1 year inspection visit and met with staff (S1) Maryann Tandas and designated administrator (S2) Teofila De Guzman. Licensee/Administrator (LIC/ADM) Johann De Guzman was not present during the visit due to prior commitment and authorized S1 and S2 to sign for the reports.

The facility is licensed to serve adults who have developmental disability ages 18 to 59. 4 are ambulatory and 2 may be non-ambulatory. LPA observed no resident present at the facility during the time of the visit 2 staff were present.

LPA toured the facility inside and outside with staff including but not limited to the kitchen, bathroom, dining room, living room, 3 residents rooms, garage, backyard and exterior walkways. The temperature inside the home was at 68 degrees Fahrenheit. Resident Bedroom #2 for non-ambulatory residents has an emergency exit door with a dead-bolt can only be opened with a key. The alarm system on the door is not functioning. Staff (S1) stated that resident 1 (R1) have a running away/wandering behavior when R1 first moved in to the facility, hence the dead-bolt was placed. LPA discussed with S1 the importance of easy access to the exit doors in case of emergency. LPA discussed with S1 door alarm system based on the requirement for residents who are running away or wandering.

The kitchen was observed to be sanitary and organized, knives and sharps were locked and not accessible to residents. LPA observed 2 days of perishable food and 7 days of non-perishable food. Under the sink cabinet is used to store chemicals and kept locked and not accessible to residents. The kitchen and bathroom water temperature measured at 107.9 to 111.9 degrees Fahrenheit. The bathroom/s are equipped with grab bars, non-skid mats.