Routine inspection·November 13, 2024

On 11/13/2024, Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced required visit using the CARE Inspection Tool. LPA was greeted by staff and granted entry after stating the purpose of the visit. Administrator (Admin) Cherry Parungao and Jay Parungao were present to assist with the facility inspection on today's date. The facility is licensed for six (6) non-ambulatory residents, 1 Bedridden with approved hospice waiver for two (2) residents. Currently, there are two (2) Hospice residents present during today’s visit. This is a single story with a two-car garage facility. The facility has six bedrooms (four private rooms, one shared room and one staff room), and three bathrooms. At around 12:52PM, LPA conducted a tour of the physical plant accompanied by Administrator, and the following was observed: All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the client's personal belongings was observed. Bed linens, comforters, and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 118.0 degrees F. A comfortable temperature of 74 degrees F. was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. Facility has supply of emergency food and water. A fire extinguisher was charged, facility has one fire extinguisher. A review of the Medication files was conducted. CONTINUE ON 809C During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. LPA observed the facility has a supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. LPA observed First Aid Kit was maintained. A working landline phone was operational. The facility had operational smoke and carbon monoxide in bedrooms and common areas. The facility has current liability insurance on file effective 9/19/2024 - 9/19/2025. The facility is current on Community Care Licensing annual dues. A review of four residents (R1-R4) service files and two staff (S1-S2) personnel files revealed to be complete. The facility has the current administrator's certification on file for Jay Parungao # 7000219740 - Expiration 11/10/25. No deficiencies during this inspection visit. An exit interview was conducted with Administrator, and a copy of the report was provided.