Facility Evaluation Report

Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced annual inspection and met with Administrator (ADM) Myla Ilagan. LPA toured the interior and exterior of the facility with ADM to include the kitchen, office, resident rooms, dining room, bathrooms, back and front of the facility. The facility is a residential care home for the elderly, and consists of two large buildings, Wing A and Wing B. Facility thermostat temperature display was observed at 68 degrees F. All exit and passageways were free and clear of obstruction.

At 9:50 AM LPA toured the Wing B of the facility. LPA observed the facility thermostat temperature display at 68 degrees F. LPA toured 8 resident rooms in Wing B. LPA observed 7 out of 8 resident rooms to have functioning lights, a bed, a dresser/table and storage space for personal belongings. LPA observed 7 out of 8 resident bathrooms had functioning lights, paper towels and hand soap. 7 out of 8 resident bathrooms had no slip-resistant mats on the bathroom floor.

At 9:55AM, during tour of resident rooms, LPA observed a male staff member asleep in an unoccupied bedroom (#18). ADM stated the staff member would be leaving and had worked the overnight shift. LPA advised ADM that facility shall be large enough to provide comfortable living accommodations and privacy to staff members who may reside in the facility.

At 10:15AM LPA toured the Wing A of the facility. LPA toured 13 resident rooms in Wing A. 13 out of 13 resident rooms had functioning lights, a bed, a dresser/table and storage space for personal belongings. 7 out of 7 resident bathrooms have paper towels, hand soap and functioning lights. LPA measured hot water temperature with a range from 105 to 112.2 degree F in resident bathrooms.