Facility Evaluation Report

Licensing Program Analyst (LPA) Araceli Canela conducted an unannounced post-licensing inspection on 12/15/2021. LPA met with Administrator Mark Jayson Sy. There are no residents in care, LPA discussed Emergency Disaster Drills to be conducted every 3 months.

During today’s visit LPA observed the following items:

· COVID-19 postings and screening station at entrance. LPA was screened prior to entering.

· Lockable separate cabinets for toxin and knives.

· 7 hardwired combination smoke and carbon monoxide detectors, which were tested and observed to be operational.

· First Aid kit, night-lights, and flashlights for emergency lighting

· Supply of linens, paper products, and hygiene supplies available

· Grab bars and non-slip mats in 2 of 2 bathrooms.

· Required furnishings in all 4 resident bedrooms

· Administrator Certification (expires 09/19/2022); Required postings (Personal Rights, Emergency plan/numbers, CCLD complaint poster, Emergency Disaster Plan, Client personal rights and visitor policy).

· Water temperature was tested & within regulation of 105 to 120 degrees F

· Auditory devices in doors, observed operational

· Resident's medication will be centrally stored and locked.

· Facility records reviewed, staff have CPR and 1st Aid certifications.

No deficiencies cited during today's inspection

Exit interview conducted with Administrator, Mark Jayson Sy and a copy of this report will be emailed