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25 | Licensing Program Analyst (LPA), Natasha Persaud conducted an announced Prelicensing inspection. An initial application to operate a Residential Care Facility for the Elderly was received on 05/31/24. The facility was approved to care for six (6) Elderly Residents; five (5) Non-Ambulatory and one (1) Ambulatory. LPA was greeted and allowed entry into the facility by and met with Applicants, Paul Diwa and Geno Uy.
Structure- The facility is a single story structure with 6 bedrooms and 3 bathrooms. There is an outdoor covered area for resident use. No bodies of water were observed.
Bedrooms Residents- Rooms #1, #2, #3, #4, #6 for Non-Ambulatory use; Room #5 ambulatory use only.
Bedrooms Staff- Applicants are using Room #5 staff use.
Bathrooms- All bathrooms have a working toilet, sink, grab bars and tub/showers with non-skid mats.
Linens & Hygiene Supplies- Adequate supply.
Emergency Phone Numbers, Exit Plan and Required Postings- Posted.
Smoke Detectors and Carbon Monoxide Detectors- Interconnected and hardwired.
Appliances- Stove burners, oven, microwave, washer, and dryer working.
Toxins- Stored in a locked cabinet.
Water Temperature- Measured at 118 degrees F.
Medications- Centrally stored and locked in a cabinet.
First-Aid Kit- Stored in a locked cabinet.
Resident & Staff Files- Located cabinet.
Activities- Adequate supplies to include exercising, painting, and puzzles for resident's use.
Fire clearance- Approved on 10/17/24.
Component III- Conducted at the Pre-Licensing visit. Information provided about how to operate the facility within substantial compliance.
All items reviewed during the visit are in compliance. Prelicensing is complete and this facility has no deficiencies. Facility appears to be ready for licensure pending final review. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Applicant, Paul Diwa signature below confirms receipt of these rights. |