Facility Evaluation Report

Licensing Program Analyst (LPA) arrived at the facility unannounced to conduct a required annual visit. The LPA met with staff Honorata Perla Avestro and Magdalena Guansing. LPA explained the reason for the visit. Staff contacted Licensee JoAnn Trupiano. LPA spoke with Mrs. Trupiano who stated that she is not feeling well therefore, unable to meet LPA at the facility today. Mrs. Trupiano stated that staff can review and sign the report on her behalf.

At approximately 10:40am, LPA and staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. The carbon monoxide and smoke alarms were tested and all functioned properly. The fire extinguisher was last serviced 04/12/2023. KITCHEN: Knives were found in an unlocked drawer. Other knives and cleaning supplies are stored in a locked cabinet under the sink. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At approximately (approx) 10:45 a bottle of Tylenol on the kitchen table. BEDROOMS: The LPA observed four (4) bedrooms two single-occupancy resident bedrooms and two shared bedrooms which were furnished with appropriate furnishings and sufficient lighting. RESTROOMS: Restrooms observed clean and sanitary and in operating condition. Cleaning items are stored in locked cabinets. At approx. 10:30am, LPA observed medications belonging to staff accessible to others in an unlocked cabinet in the hallway. COMMON SPACES: The living room, family room and dining room furniture were observed to be in good condition. The patio is equipped with furniture for resident use. No bodies of water.

Resident records reviewed at approx. 11:15am - Resident files were reviewed for updated Needs and Services plans, medical assessments, admission agreements, and all other pertinent documents in their files. Administrator did not have a current Needs and services plan for resident #3.