Facility Evaluation Report

At approximately 9:30 AM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a 1-Year Required Visit and Non-Compliance (NCC) quarterly visit and was greeted by Ramil Gilbert "Chinchin" Razon, Caregiver/Designated Responsible Party . Imelda Padama, Licensee was contacted via phone and arrived shortly after and Samuel Padama, Licensee arrived approximately 2 hours later. LPA was informed there are three (3) residents in care and all were present during inspection. Facility is a Residential Care Facility for the Elderly (RCFE) with a Hospice waiver for two (2), an approved dementia plan, and fire clearance for capacity of six (6) residents; five (5) non-ambulatory and one (1) bedridden.

At approximately 9:45 AM, LPA initiated a tour of the facility and observed the following: Facility is a one story home, was a comfortable temperature, and passageways were free from obstructions. Water temperature in clients' bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed client showers with grab bars an non-slip mats as required. LPA observed a supply of clean linens, incontinent care products, and paper products available to clients. Clients' bedrooms were inspected and observed to have appropriate furnishings as outlined in Title 22 regulations. Cabinets in communal areas of the facility containing cleaning supplies and other items that could pose a risk were observed locked. However, LPA observed toxic chemicals in the unlocked garage and outdoor storage building. Licensee removed and secured the items immediately making them inaccessible to residents in care. Facility has at least two days of perishable foods and one week of non-perishable foods. Medications were centrally stored and locked. There is outdoor space for activities. LPA observed an activity schedule and games available for resident use.

Facility has two fire extinguishers, which were last inspected July 2024 and are fully charged. Smoke and Carbon Monoxide detectors were tested and operational during inspection.