Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required Inspection and met with Robertson Cirineo, Administrator; Josephine Credo, Licensee arrived later. There are currently residents with a diagnosis of Dementia. Required postings were observed. Annual fees current.

LPA/Administrator initiated a tour of the facility at 9:00am and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Water temperature in resident's bathroom measured at 107.4, 105, 117.1 and 118 degrees F which are within allowable range of 105 to 120 degrees F. Extra hygiene products and linens were available. Bathrooms had required bath mats and grab bars. Cabinets containing cleaning supplies and other items that could pose a risk were locked. Five out of five fire extinguisher were last inspected July, 2024. Facility has a centralized smoke detector system that was last tested July 10, 2024. Carbon monoxide detector was tested and operational. Exit doors have auditory alert system and were functional at time of visit. Medications were centrally stored and locked. LPA reviewed the facility emergency disaster plan with staff. Facility has a generator to supply power during an outage. The plan outlines evacuation routes, which are shown on facility sketch and has alternative meeting locations. Facility did not has enough food supplies to operate for more than 72 hours during an emergency (Technical violation issued). Last Emergency Disaster Drill was conducted on 2/4/25.

At approximate 9:15am LPA/Administrator observed three oranges, seven bananas and twenty six apples, which is not adequate supply of perishables for at least two days. However, one week of non-perishable foods was observed in stock. LPA have a discussion with Licensee regarding the importance to have an adequate supply of fruits and vegetables as indicated per regulation. Continued on LIC809C...