Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Kabariti arrived unannounced to conduct the facility's required - 1 year annual inspection. LPA met with Administrator Aidah Tayag.

During visit, LPA toured the facility with the ADM to include the entrance, dining room, kitchen, resident bedrooms, bathrooms, office, and exterior. All fire exit routes were free and clear of obstruction. The front door observed with operable door alarms. Posters observed to include the ombudsman, complaint poster, and personal rights.

Facility temperature maintained between 73 - 75 degrees F. Fire extinguishers last serviced on 10/07/2024. Carbon monoxide detectors present on the first and second floor. Emergency lighting observed in the hallways. Activity calendar posted throughout the facility. LPA observed residents participating in activities in the activity room. Facility has at least 2 days worth of perishable and 7 days worth of non perishable foods. Refrigerator temperatures maintained between 36 - 38 degrees F. Freezer temperature maintained at -5 degrees F.

Resident bedrooms #1, 2, 5, 7, 8, 10, 12, 24, 25, 28, and 30 was inspected. Bedrooms are equipped with beds, linens, night stand, dresser, and adequate lighting. Bathroom hot water temperature measured on the first and second floor (RM #8 and #28) initially measured between 133.5 - 135.5 degrees F. ADM states they just installed a new hot water heater. During visit, staff adjusted the hot water temperature which was measured between 114 - 116 degrees F before end of visit. See LIC809-C