Facility Evaluation Report

On 6/27/2024, Licensing Program Analyst (LPA) Tobola conducted an unannounced Annual Required – 1 yr. Inspection for this facility and was greeted by Administrator, Jenna Baluyot. The facility currently provides care for 3 clients, all of which were present at the time of visit. LPA continued with a tour of the facility with staff. Client’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguishers were found to be last charged on 6/17/2024. Smoke and carbon monoxide detectors found throughout the facility, tested and to be in working order. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were stored properly with appropriate coverings. Water at faucets accessible to clients were measured at 110.2 degrees F which is within regulation. Facility conducts and records emergency disaster drills on a monthly basis, with appropriate emergency exit signs and evacuation maps posted. LPA observed missing window screen located in client restroom. Administrator to submit photo corrections. Technical Violation issued.

There is a sufficient supply of linens, hygiene product and paper products available for client use. Items that could pose danger to client if accessible were found to be secured. There are two storage areas, one located in the back of the facility and an additional shed located in the backyard, both of which showed no signs of inhabitants. Clients were observed to have a positive relationship with staff and found participating in personal activities and appointments during the visit.

Medications and facility records are stored in the garage, all of which were found to be secured. Upon a spot check, medications and administration records were all found to be in order. LPA conducted a review for 3 out of 3 staff files and found all staff to have 1st Aid & CPR certification and annual training on file. Upon review of 3 out of 3 client files, LPA found that clients' (C1 & C2) physician's reports indicate that they are not able to handle their own cash resources. However, upon interview with Administrator, LPA was informed that C1 & C2 utilize personal debit cards. LPA requested for Administrator to contact client Service Coordinator and Primary Physician's to update client physician's reports for consistency. Technical Violation Issued. Continued onto LIC809-C