Routine inspection·May 5, 2022

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit for the purpose of conducting a required/ annual visit. LPA was greeted and granted entry into the facility by Caregiver Lourdes Dizon and explained the reason for the visit. Administrator Martin Magdaluyo has a current administrator certificate expiring on 07/22/2022. Administrator Martin Magdaluyo and Assistant Administrator Michael Geslani arrived during the visit. At 2:30 PM, LPA toured the facility with Assistant Administrator Geslani. Facility has 5 residents in care during today's visit. LPA observed residents relaxing in the facility. All residents appeared happy and well taken care of. Facility appears clean and sanitary. All resident rooms had the required elements as well as restrooms stocked with soap/ sanitizer. All rooms are single occupancy. Facility screens all visitors to the facility and LPA observed the screening/ sanitizing station in the entrance of the facility. Facility utilizes a visitor sign in sheet. Facility takes resident and staff temperatures daily and documents. Facility has all required department postings. LPA observed the first aid kit has all required items. Facility mitigation plan has been approved. LPA observed an ample supply of emergency food and water as well as PPE. Toxins and sharps are secured. LPA toured the outside grounds and observed the shaded outside visitation area. Exit gate is unlocked and self latching. LPA observed the locked medication storage area. Facility has a plan for covid testing residents and staff as needed as well as a plan for isolation and quarantine. LPA reviewed five resident files during the visit and all files are up to date including emergency information. All residents and staff are vaccinated for Covid-19. LPA consulted with Assistant Administrator regarding the importance of hand washing signs in all facility restrooms as well as ensuring the emergency disaster plan is posted in the facility. No deficiencies noted during today's visit. An exit interview was conducted and a copy of this report was left at the facility.