Routine inspection·May 5, 2024

On 05/05/2024, Licensing Program Analyst (LPA) Antonine Richard conducted an unannounced annual required visit using the CARE Inspection Tool. LPA was met by Administrator Rhoda Mabutas and explained the purpose of today’s visit. Later joined with Ruby Ana Punzalan. The facility is licensed to serve six (6) non-ambulatory elderly residents ages 60 and above of which one (1) can be bedridden in room #3 and two (2) can be on hospice care. The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) resident's rooms, three (3) bathrooms, living area, dining area, kitchen, laundry area, and outside shaded patio area. There is an attached garage used for storage only. The garage contains an additional pantry for food storage and the freezer for food. LPA conducted a records review of staff record, and resident records and Medication Administration Record, LPA did not observe any discrepancies at the time of visit. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting provided, storage for resident personal belongings was observed. Bathrooms were found to be within Title 22 regulations and were operational. The hot water temperature measured between 114.5F to 113.5F degrees. in all bathrooms and kitchen sink. A comfortable temperature was maintained in the facility. The kitchen was inspected and there is sufficient perishable and non-perishable food available properly maintained. LPA observed the facility to be appropriately furnished at the time of visit. LPA observed cleaning supplies and toxins in locked cabinets. Three (3) fire extinguishers were charged with one in the living room, kitchen area and hallway, smoke detectors and carbon monoxide were operable. The last fire drill conducted on 03/29/2024. There was a first aid kit available located in the living room. During today’s visit no discrepancies were cited. Exit interview conducted with Administrator Rhoda Mabutas, and a copy of this report was provided.