Facility Evaluation Report

Licensing Program Analysts (LPAs) Christi Coppo and Elias Magdaleno arrived unannounced to conduct a required Annual inspection and was greeted by licensee Luningning Alicdan.

At approximately 9:30am LPAs and licensee toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPAs observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered. Garage cabinet containing cleaning supplies was unlocked, LPAs discussed with licensee cabinet must remain locked at all times. Kitchen drawer with sharp knives locked.

All bedrooms were equipped with lighting, night stand, and chest of drawers. Extra hygiene products and linens were available. LPAs observed resident room 2 had commode full of waste and urine, with very strong odor filling the room. LPAs observed resident room 4 to have strong odor from urine as well. LPAs discussed with licensee importance of keeping facility and residents free from odors of incontinence (deficiency cited see 809D) . Hallway floor in front of water heater closet outside of main hall bath has water damage. Per licensee, water damage caused by leaking water heater that was recently replaced. LPAs and licensee observed the laminate flooring was uneven as a result of damage and bowed inward under weight (deficiency cited see 809D) . Resident bathroom had required bath mat and grab bar. Water temperature in sinks accessible to residents in care measured at 119.3 degrees F in hall bath and 117.6 degrees F in room 1A/1B which are within the allowable range of 105 to 120 degrees F.

Fire extinguishers were last inspected 5/31/2024. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Facility’s last quarterly disaster drill was conducted 12/5/24. Facility has a backup generator for use during a power outage.