Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unnanounced to conduct a Required Annual Inspection and met with Charito Santos (Administrative Assistant), Nicanor Aquino (Licensee) arrived later. Annual fees are current. Required postings were observed.

LPA/Administrative Asst. initiated the tour at 9:00am and made the following observations: Facility was a comfortable temperature with thermostat reading at 76 degrees F. Passageways were free from obstructions. Resident rooms needs a chair per resident per regulation (technical violation will be issued). During the tour of the facility LPA/Administrative Asst. bserved water temperature in resident bathroom measured at 124.3, 126.7, 106.1 and 126.3 degrees F, which are not within allowable range of 105 to 120 degrees F. Staff adjusted water heater immediately (Technical violation will be issued). Extra hygiene products and linens were available. Bathrooms had required bath mats and grab bars. Cleaning supplies were also observed under the kitchen sink. Bathroom #2 windowsill have paint bubbles need to be cleaned; bathroom #1 sink needs to be cleaned; Resident's room (room # 10, 11, 13 and 17) window screens are missing. Face plate in room #10 needs to be replaced. Knives are located in a locked drawer in the kitchen. Facility has at least two days of perishable and one week of non-perishable foods. Medications were centrally stored and locked in a medication cart located in the office. Fire extinguisher was last inspected May 2024. Smoke and Carbon Monoxide detectors were tested during inspection and operational. Exit doors have auditory alert system that were functional at time of visit. Cash resources and records were reviewed. Emergency Disaster Drill has not been conducted within the last quarter. Medications and medication records were reviewed.