Routine inspection·June 4, 2025

Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced visit and was greeted a caregiver and the Administrator, Emmanuel Manabat. LPA stated the purpose of the visit is to conduct an annual inspection. The facility is licensed for six non-ambulatory of which two may be bedridden. The Administrator confirmed there are four residents. LPA and the Administrator toured the facility at 10:30 am until 11:00 am. Kitchen - LPA observed a two day supply of perishable food and a seven day supply of non perishable food items. The knives were safely locked in a kitchen cabinet. The cleaning supplies were locked under the kitchen sink. Common Areas –The living room contained comfortable seating. The dining room contained table and chairs. The family room also contained comfortable seating and a television. Residents’ Rooms – The rooms contained a bed, linens, night stand, lamp, chest of drawers and a closet. Bathroom – The two resident bathrooms contained grab bars, slip resistant mats, paper towels and a covered trash can. The staff bathroom was neat and clean and contained the required paper towels and trash can. Continued on 809-C Water Temperature - The water temperature was tested in resident bathroom one at 10:20 am and was 113 degrees F. Backyard –The backyard contained a covered patio with comfortable seating. The gate leading from the backyard to the front yard was not locked. Medication Closet - The medications were locked in the hallway closet. The first aid kit was also locked in the closet. Laundry Room – The room was locked and contained additional cleaning solutions, the washer and dryer, and laundry detergent Garage - The garage was locked and contained an additional refrigerator. LPA did not observe any safety issues when viewing the garage. Egress - There are three exits leaving the facility. LPA observed the egress doors were properly working. Smoke/Carbon Monoxide Detectors - The smoke/carbon monoxide detectors were tested at 10:30 am and were operable. Residents’ Records -LPA reviewed residents' records at 11:00 am until 11:30 am and reviewed resident's medications at 11:30 until 11:40 am. Staff Records - LPA reviewed staff records at 11:45 am until 12:15 pm. LPA observed a staff member has not completed the CPR/First Aid training. Based upon LPA's review of the staff records, the following deficiencies were issued. Exit interview conducted, appeal rights discussed, and a copy of the report was given.