Facility Evaluation Report

Licensing Program Analysts (LPAs) Stefanie Mutialu and Jill Nakagawa arrived unannounced for the purpose of conducting a Required -1 Year inspection and met with Val Henry Abillar, Administrator. There are currently 3 residents in care.

LPAs toured the facility, all exits were unobstructed. The facility was found to be clean & at a comfortable temperature. LPA observed a supply of arts/crafts, linens (bedding, towels, etc.), and cleaning solutions (observed locked & inaccessible). Liquid hand soap and paper towels are available in bathrooms. 4 of 4 client bedrooms were fully furnished per regulation. Facility food supply was within regulation and accessible to clients. Medication was centrally stored. Water temperature was tested and observed between 105 to 120 degrees F. Disaster Drills are conducted quarterly as required, the last being 4/16/24 4/24/24, and 4/26/24 (one for each shift). 3 of 3 fire extinguishers were charged and serviced on 07/26/2023.. There are 6 combination hardwired smoke & carbon monoxide detectors, which were tested & observed operational. LPAs reviewed staff and client records. Staff have current training certifications in First Aid & Cardiopulmonary Resuscitation (CPR) in file. Client files are complete and up-to-date. Client P&I funds are not commingled. Administrator's Certificate is valid until 01/17/2025.

LPAs requested the following updated forms to be submitted to Community Care Licensing by 05/15/2024: