Facility Evaluation Report

Licensing Program Analyst (LPA) Valeria Conway conducted an unannounced annual visit to this facility at 9:05 A.M., LPA met with caregiver Sheryl De Guzman. Administrator was contacted via telephone. At 9:10 A.M. Back-Up administrator Harold De Guzman arrived at the facility. Licensee/Administrator, Jocelyn Manacap, arrived at 9:45 A.M. Entrance interview conducted.

Beginning at 9:30 A.M., the LPA along with Back-up Administrator, toured the physical plant areas inside and outside to ensure there are no health and safety hazards, and facility is in compliance with Title 22 Regulations. T his facility doesn’t have a staff room; facility will provide 24/7 care. The following was observed:

BEDROOMS : The LPA observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are three (3) total bedrooms, all of which are designated for shared resident use, at the time of the visit only Room #1 is being shared.

RESTROOMS : The LPA observed two (2) restrooms in the facility; one (1) is a shared restroom, and one (1) is a private restroom. Resident restrooms are clean and sanitary and in operating condition with grab bars and slip-resistant surfaces. Between 9:41 A.M. and 9:46 A.M., hot water was above the regulation range. During today’s visit, back up Administrator adjusted the water heater.