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25 | Licensing Program Analyst (LPA), Tiffany Holmes conducted an announced Pre-licensing inspection. An initial application to operate a Residential Care Facility for the Elderly was received on 10/10/2024. The facility was approved to care for six (6) Elderly Residents; six (6) Non-Ambulatory and six (6) hospice. LPA was greeted and allowed entry into the facility by and met with Arceli Songco, Administrator.
Structure- The facility is a double story structure with 6 bedrooms and 4 bathrooms. There is an outdoor covered area for resident use. No bodies of water were observed.
Bedrooms Residents- Rooms #1, #2, #3, #4, #5 & #6 for Non-Ambulatory 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- working.
Appliances- Stove burners, oven, microwave, washer, and dryer working.
Toxins- Stored in a locked cabinet.
Water Temperature- Measured at 109 degrees F.
Medications- Centrally stored and locked in a cabinet in the kitchen.
First-Aid Kit- Stored in a locked cabinet.
Resident & Staff Files- Located in the cabinet.
Activities- Adequate supplies to include exercising, painting, and puzzles for resident's use.
Fire clearance- Approved on 12/13/24.
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. Pre-licensing 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 Arceli Songco, Administrator, their signature below confirms receipt of these rights.
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