Facility Evaluation Report

Licensing Program Analyst (LPA) Emily Peraldi conducted an unannounced required annual visit. At 10:00 a.m., the LPA met with the Licensee, Perfecto P. Cudal and explained the reason for the visit. This annual had a specific emphasis on infection control practices and procedures.

At 10:20 a.m., the LPA, along with the Licensee toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that the facility is in compliance with Title 22 Regulations.

COMMON SPACES: All indoor and outdoor passages were free of obstruction. At the time of the visit, living room and dining room furniture was observed to be in good condition. The LPA observed the fire extinguisher to be fully charged and last serviced on 08/16/2022. Signs are posted throughout facility to promote handwashing, and cough/sneeze etiquette. At 10:28 a.m., fire alarms/carbon monoxide detectors were tested and functioning properly.

BEDROOMS: There are a total of five (5) bedrooms, three (3) for client use and two (2) for staff use. The LPA observed the client bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Medications are centrally stored and in a locked cabinet in one of the staff rooms.

RESTROOMS: Restrooms were observed to be clean and sanitary with hand soap, toilet paper and paper towels. At 10:21 a.m., the hot water temperature tested at 105.1-degree Fahrenheit.

KITCHEN: The LPA observed the kitchen/dining area. Knives are stored in a locked kitchen drawer. Kitchen appliances are in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 10:23 a.m., hot water measured at 107.0-degree Fahrenheit.