Facility Evaluation Report

At approximately 12:40 PM, Licensing Program Analyst (LPA) Elias Magdaleno arrived unannounced to conduct a required 1-year annual inspection and was greeted by caregiver. Licensees Danilo Sy and Thelma Sy were called and arrived at approximately 1:15 PM. Facility is a Residential Care Facility for the Elderly (RCFE) with two (2) residents in care. Facility has a Dementia Care Plan and is approved for all non-ambulatory residents. Residents were at day program during this visit and returned as LPA was leaving.

At approximately 1:20 PM, LPA initiated a tour of the facility with Licensees and observed the following: Facility is a one (1) story home, was a comfortable temperature, and passageways were free from obstructions. Fire extinguisher was observed charged and last inspected 6/24. Smoke and Carbon Monoxide detectors were tested and operational during inspection. Water temperature measured 111.7 degrees F, which is within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens, hygiene, incontinent care, and paper products available for residents. Residents' bedrooms were inspected and observed to have all the appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked.

LPA observed at least a two (2) day supply of perishable and seven (7) day supply of non-perishable food, as well as an emergency water supply. Food was found to be stored in a safe manner with open items covered. There is a shaded seating area in the backyard with outdoor space for activities. Facility has an internet access devise and internet available to clients in care. Facility conducts quarterly disaster drills, and the most recent drill was conducted 3/25.