Routine inspection·March 26, 2024

Licensing Program Analyst (LPA) Helena Rummonds arrived unannounced at approximately 9:15AM to conduct an Annual Required inspection and was greeted by staff. LPA and staff discussed the purpose of the visit. Administrator, Mayeen Galang arrived shortly after. LPA and Administrator initiated a tour of the facility around 09:35 AM and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Water temperature in sinks accessible to clients measured at 108 degrees F which is within the range of 105 to 120 degrees F allowed per regulation. Extra hygiene products and linens were available. Cabinets containing cleaning supplies were locked. Facility has at least two days of perishable and one week of non-perishable foods which were of quality and stored per regulation. Medications were centrally stored and locked. Emergency food and water is stored in the garage. Personal Protective Equipment is stored in the garage. Fire extinguishers were last serviced February 13, 2024. Facility smoke and carbon monoxide detectors located throughout the facility were tested and operational during inspection. Most recent fire/disaster drill was conducted 02/14/2024. Client cash resources were reviewed. Five staff files and five resident files were reviewed. Staff have required First Aid and CPR certificates. Medications and medication records were reviewed. Administrator Certificate for Administrator, Mayeen Galang (6029937740) is up to date and expires 02/24/2025. No deficiencies cited during inspection. Continued on LIC809C Continued from LIC809 Exit interview conducted. Copy of report discussed and provided to Administrator. Signature on forms confirms receipt of documents. LPA is requesting the following documents to be submitted to Community Care Licensing by 04/26/2024: LIC 500 Personnel Report LIC 9020 Client Roster LIC 308 Designation of facility responsibility Surety Bond