Facility Evaluation Report

Licensing Program Analyst (LPA), Carol Fowler is conducting an Required-1 Year inspection, on 10/05/2023 at approximately 12:07PM, and met with Remedios Isla, Caregiver and Virginia Punzalan, Co-Administrator arrived approximately 12:32PM LPA observed one staff on duty on arrival.

Currently three (3) client in care. Facility has an approved fire clearance three (3) ambulatory clients. The facility has required emergency disaster plan.

Facility scheduled evacuation fire drill will be 10/06/2023, including staff & client. Client, 1 out of 3, special diets regarding food are followed per staff interviews, and per LPA's observations during the inspection.

The LPA reviewed four (4) staff files. Administrator certificate for Virginia Punzalan is current- CERT# 6006324735 expires 1/1/2025 . All staff have required criminal record clearance. All staff have required training. The LPA reviewed three (3) client files. Client files were complete. P&I clients monies were maintained as required, and not mixed with facility funds/any other funds.

The LPA toured the facility with the Administrator. All exits were unobstructed. The facility fire extinguisher was serviced and tagged as required expires 05/20/2023. Facility had eight (8) smoke alarms, and all were working properly when checked during the inspection. Facility had one (1) carbon monoxide detector that were working properly when checked during the inspection. Facility had a first aid kit stored in the hallway and one locked in storage, it did have a required first aid booklet. The facility had a first aid kit, and first aid booklet. The facility had a sufficient supply of perishable and nonperishable food.