Facility Evaluation Report

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced annual required inspection and met with Administrator/Licensee (ADM/LIC) Johann De Guzman and stated the purpose of the visit.

The facility is licensed to serve six (6) adults 18-59 years, four (4) ambulatory and two (2) non-ambulatory in bedroom #2 only. During the visit LPA observed 1 out of 4 resident was waiting in his/her room to be taken to his/her day program. 3 Out of 4 resident were attending their respective day program. 2 staff were at the facility assisting and doing chores.

LPA toured the facility, including common areas, resident rooms, kitchen, bathrooms, driveway, and outdoor spaces and storage areas. Indoor temperature was within regulation range of 70°F. The kitchen was sanitary and organized; knives and chemicals were locked. Food supply met regulatory requirements (2 days perishable, 7 days non-perishable). The water temperature measured 120°F for the bathroom sink. The kitchen water temperature measured at 126.6°F, LPA observed a warning notice sign that prominently identifies the tap delivering hot water that exceeds 125°F.

Bathrooms had grab bars and non-skid mats; resident rooms had adequate storage, well lit, organized and sanitary. 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.