Routine inspection·January 31, 2025

On January 31, 2025, Licensing Program Analyst (LPA) Eboni Bentley arrived at the facility unannounced, for the purpose of conducting a required one year annual visit using the CARE Inspection Tool. LPA Bentley was greeted, granted entry by staff, and explained the reason for the visit. Administrator (AD) Reca Edora Yap arrived a short time later and was present for the visit. AD Yap has an Administrator Certificate pending approval, received November 25, 2024. Additional administrators/certificates: Ace Edora Tablang expiration date September 26, 2024 and Mc Jevin Tablang expiration date June 21, 2025. Moms and Dads is a one story home with three (3) resident bedrooms, one (1) staff bedroom and two bathrooms. The facility is licensed for six (6) non-ambulatory residents, one (1) bedridden resident, with an approved hospice waiver for three (3) residents. Currently, there are four (4) residents on census of which three (3) are receiving hospice care. All four (4) residents were present during today’s visit. At 9:00AM, LPA Bentley conducted a tour of the physical plant accompanied by AD Yap and the following was observed: All resident bedrooms and bathrooms were inspected. Each bedroom had adequate lighting, furniture, bedding, storage for the residents’ personal belongings, all necessary elements present and rooms were in compliance with regulation guidelines. Additional bed linens, comforters, and bath towels were available during the visit. The kitchen was clean and organized. knives and sharp objects were kept locked in a cabinet below the counter and medications were locked in a cabinet above the counter. A two day supply of perishable food items and seven day supply of nonperishable food items was observed. CONTINUE TO 809-C PAGE In the garage, are two filing cabinets. One cabinet storing resident and staff records. Walkways were free of obstruction. There were three (3) additional refrigerators: two (2) for staff items and one (1) for residents. LPA Bentley also observed a washer and dryer in working condition, several boxes of diapers, and emergency bags for the residents prepared and ready to go. The backyard was clean and free of clutter and debris. The side exit gates were clear and accessible and a shaded patio area with tables and seating observed. There was also a storage shed in the back yard, and additional storage for supplies. There are no bodies of water. A review of four (4) residents (R1-R4) service files and five (5) staff (S1-S5) personnel files revealed to be complete. Two (2) residents and two (2) staff interviews were conducted. A review of the Medication Records Administration (MAR) and medication was conducted, and records were found to be in compliance. The facility has liability insurance effective August 5, 2024 through August 5, 2025. A first aid kit was observed with all the required elements present. There is one (1) fully charged fire extinguisher, observed mounted in the kitchen with a last service date of May 22, 2024. Smoke and carbon monoxides detectors were tested and operational. The last fire and disaster drill was conducted on September 21, 2024, for which a Technical Violation was issued. The facility does not current have a technical device with internet access available for resident only use, and a Technical Violation was given during today's visit. Hot water temperatures in bathrooms were measured and observed at 140.1 degrees Fahrenheit, for which a Type A Violation was given. One (1) deficiency and two (2) Technical Violations were cited during today’s inspection visit. An exit interview conducted and a copy of the report was provided to Administrator Reca Edora Yap.