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25 | On 11/07/2024 at 2:00 PM, Licensing Program Analyst (LPA) P. Manalo and Licensing Program Manager (LPM) Y. Flores-Larios arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Care Staff, Delia Taguin, and explained the purpose of the visit. Delia phoned the Administrator (ADM), Maria Mendiola, to inform of the visit. ADM came shortly after. The facility’s fire clearance was approved for four (4) ambulatory and two (2) non-ambulatory.
LPAs toured facility with ADM, Maria, including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms which 4 bedrooms are occupied by the residents and 1 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 111.7 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents.
Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 09/12/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 10/03/2024.
At 2:45 pm, LPAs reviewed 5 residents records. At 3:30 pm, LPAs reviewed 4 staff records and 4 of 4 have current first aid training and associated to the facility. At 4:00 pm, LPAs reviewed a sample of resident’s medications. All records were observed to be complete and up to date.
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