Facility Evaluation Report

Licensing Program Analyst Carol Fowler, arrived unannounced to conduct a Required Annual Inspection and met with Theresa Ilagan, Manager. The facility was a comfortable temperature, free from obstructions, and was well lit. Extra linens were available and required bath mats and grab bars were observed. Water temperature in resident's bathrooms measured between 105 and 120 degrees F which is within acceptable range. Medications were centrally stored and locked. Residents handle their own cash resources.

Fire extinguishers located in the kitchen and hallways was last inspected 02/15/2023. Smoke alarm system and sprinkler system were last inspected 4/2/2023. The last Disaster Drill was conducted on 8/1/2023. Staff and resident records were reviewed. Administrator Certificate for Rasmika Mahawal, #6029802740 expired March 5, 2022 but has renewed. Staff have required First Aid and CPR certificates. Residents have current Medical Assessments and Appraisals/Care Plans as required by regulation. Medications were reviewed.

Deficiencies LPA observed during tour and record review:

Cleaning products and other toxins located in an unlocked supply room

Food (meat) not properly stored in freezer, freezer dirty

Administrator file not stored at the facility