Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra conducted an unannounced Annual Required inspection and case management visit to follow up on another agency report submitted to Community Care Licensing (CCL) and met with Administrator Joana Dimaculangan. All four clients were attending to day program at time of arrival. Contact information reviewed. Annual fees are current.

LPA/Administrator toured the facility which was found to be clean, in good repair and a comfortable temperature. All exits and pathways were free from obstructions. Client bedrooms contained all required furnishings per regulation. Facility maintains the required supply of linens and hygiene products available to care for 4 clients. Hot water temperature in faucets used by clients measured 107.6 degrees F which is within regulation of 105 to 120 degrees F. Toxins are stored in a locked cabinet under the kitchen sink. Medications are centrally stored in a locked cabinet in the hall next to the bedrooms and in a locked refrigerator in the kitchen. Fire extinguishers were charged and tagged as of July, 2023. Smoke detectors and carbon monoxide detectors were tested and operational during inspection. Fire door was working properly. Facility van was inspected while visit was conducted and it has a first aid kit updated and fire extinguisher. Back up generator is on site and tested every Friday and is documented in a log. Last disaster drill conducted on 3/31/24. There is at least a 2 day of perishable and 7 day supply non perishable foods for 2 clients who are on ground diets and thickened liquids. Currently 2 of the 4 clients are fed through G-tubes. LPA was able to verify that facility maintains a 7+ day supply of client prescribed nutritional formulas. LVNs and RNs are responsible for all tube feeds and medications.