Routine inspection·September 14, 2022

Licensing Program Analyst (LPA) Edward Tapia made an unannounced required annual inspection at this facility. LPA met with staff Corazon Ramos Igmedio “Jojo” Laxamana and stated the purpose of this visit. Administrator Jermery “Jay” Parungao arrived during the inspection and provided assistance. The facility is a single-level structure licensed for six non-ambulatory with a hospice waiver for five and one may be bedridden. This facility offers Residential Care for the Elderly. At about 10:50 am, LPA Tapia was granted entry after completing the Coronavirus 2019 (COVID 19) screening procedure. For this visit, LPA observed 6 residents in care and 2 staff members on duty. LPA toured the interior and exterior portions of the facility. There were 6 private resident rooms and a staff room which is inaccessible to residents. Rooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Bathrooms were observed to be in good repair and provided with grab bars and hot water was measured between 120.0 – 120.9 degrees Fahrenheit. LPA is aware of the warmer temperatures that would affect the water temperature. For the exterior portion, furniture was in good repair; and grounds were free of tripping hazards. Facility offers a 2-car garage which is used for storage and an operational washer/dryer and refrigerator. Fire alarms, carbon monoxide alarms and auditory exit alarms were tested to be operational. Fire extinguisher was observed. Kitchen was in good repair. LPA noticed knife drawer did not have a lock. Administrator was made aware of this issue and will purchase a lock for the knifes/sharps. Administrator was made aware of annual fee due on 09/30/2022. Administrator paid annual fee and was provided with a confirmation number. LPA Tapia viewed the COVID 19 mitigation plan and the Emergency disaster plan of the facility. LPA discussed Assembly Bill 665 that requires a licensee of any adult care residential facility that has internet service to provide at least one internet access device, such as a computer, smart phone, tablet or other device, that: can support real-time interactive applications; is equipped with video conferencing technology, including microphone and camera functions; and is dedicated for client or resident use. For this visit, one deficiency was noted in areas observed. No advisories were issued today. LPA Tapia conducted an exit interview with Administrator Jeremy “Jay” Parungao and copy of this report along with appeal rights were explained and left at the facility .