Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo and Licensing Program Manager (LPM) Bethany Moellers arrived unannounced to conduct a required Annual inspection and was greeted by Rhodener (Dennis) Panlican, co-administrator. Licensee Caroline Ramos arrived later at approximately 11:45am. Facility currently has 5 residents of which none are on hospice. Facility contact information was reviewed.

At approximately 9:00am LPA, LPM, and Licensee toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA, LPM, and co-Administrator observed outside exit path to be partially obstructed by four shelving units, housing plants, and ceramics. LPA obtained photos and requested Licensee to remove all items so that pathway is fully accessible. Licensee agrees to have cement walkway from backyard area to emergency exit gate fully cleared and accessible. LPA and LPM advised path should be completely clear ensuring room for all residents to utilize path for emergency exit, as required by Title 22 regulation 87202(a).

At approximately 8:55am LPA and LPM 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 and labeled. Kitchen cabinet containing cleaning supplies was locked. LPA observed staff working in the kitchen with the sharp knives drawer unlocked. Licensee agrees to keep kitchen drawer containing sharp knives to be locked at all times, with the key removed and stored out of reach of residents. LPA observed staff to be in kitchen area working with medication cabinet unlocked and with keys in the lock.

All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms were clean and in good repair. Extra hygiene products and linens were available. Resident bathrooms had required bath mats and grab bars. Water temperature in sink(s) accessible to residents in care measured at 108.2 F, 111.4 F and 111.2 F degrees F which is within the allowable range of 105 to 120 degrees F..