Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required inspection and was greeted by Administrative Assistant, Charito Santos. Licensee Angelita Aquino and Administrator Nicanor Aquino arrived later. Required postings were observed.

LPA initiated a tour of the facility around 8:45am and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Residents room were furnished per regulation. Water temperature in bathroom used by residents measured 114.1, 113.5, 111.4 and 119.8 degrees F which is within the range of 105 to 120 degrees F allowed per regulation. Extra hygiene products and linens were available. Cleaning supplies are stored in the locked laundry room. Facility has at least two days of perishable and one week of non-perishable foods. Facility has emergency food and water supplies. Fire extinguisher was last serviced June 2023. Smoke detectors located throughout the facility as well as the Carbon Monoxide detector were tested and operational during inspection. Knives are located in a locked drawer in the kitchen. Kitchen staff were in kitchen at the time of inspection and LPA confirmed that the kitchen was locked when staff were not in the kitchen. Exit doors have auditory alert system that were functional at time of visit. All fees are current as of this time. Reviewed current Contact Information. Administrator Certificate for Nicanor Aquino 6010494740 expired, but there was proof that it is listed on the Department's pending Administrator Certificate list. Last emergency disaster drill conducted in May 2023.

At approximate 9:00am LPA/staff observed one out of four bathrooms used by residents located in wing "A" had a urine smell, ceiling in the bathtub area was peeling off, the bathtub was dirty and unsanitary including curtain that needs to be replaced.