Routine inspection·December 22, 2023

On 12/22/2023 at 12:35 PM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced to conduct the Required Annual Inspection of the facility. Upon arrival, LPA stated the purpose of the visit to Caregiver Marvin Obuyes. Licensee/Administrator (ADM) Arsenia "Zeny" Lising was notified immediately thereafter but unable to come to facility in person. Caregiver Marie Regacho arrived at approximately 2:05 PM. LPA toured facility inside and outside. All outdoor and indoor passageways were free of obstruction. There were no bodies of water observed. Inside, the temperature was measured at 71.4 degrees and the hot water was 106.4 degrees Fahrenheit. The LPA observed adequate lighting, furniture, and bedding in all of the rooms for the comfort and safety of the residents. LPA observed 7 days of nonperishable and 2 days of perishable foods on hand. Sharps and dangerous items were inaccessible to residents. Fire extinguisher was observed to be fully charged and last replaced on 9/22/2023. The LPA reviewed the records of 5 residents and 1 staff member. The LPA interviewed 2 residents. 3 Type-B citations issued (refer to LIC809-D for details). By 1/3/2024, Licensee will send updated forms to LPA: · LIC308 - Designation of Facility Responsibility · Evidence of Liability Insurance Required Annual Inspection incomplete. LPA shall return unannounced to complete the inspection at a later date and time. Exit interview conducted with Caregiver Marie Regacho. A copy of this report provided via email to Licensee/Administrator (ADM) Arsenia "Zeny" Lising.