Routine inspection·July 29, 2024

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual inspection using the CARE Tool. LPA was greeted and granted entry by Caregiver Jocelyn Regalado. Administrators (Admins) Miguelito and Leah Ann Fajardo arrived on premise approximately 2:00pm. During today's visit, LPA observed five residents in care and two caregivers on duty. LPA observed the facility to be clean and sanitary. There are five resident bedrooms and two resident bathrooms. All common areas were inspected including the attached two car garage which doubled as a laundry room. The residents' bedrooms were appropriately furnished. Beds and bedding supplies were in good condition, adequate lighting was provided, sufficient storage space for each residents' personal belongings were observed. Bathrooms were found to be in compliance, clean, and operational. The water temperature measured at 114.8 and 125.0 degrees Fahrenheit. LPA observed the indoor temperature was within a comfortable range. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed sufficient two-day supply of perishables and seven-day supply of non-perishable food available. LPA toured the exterior portion of the facility. LPA observed the outdoor passageway free of obstruction. The exit gate was in good repair. LPA observed sufficient seating and shading. Facility maintains fire extinguishers which were observed to be mounted, charged, and serviced on May 28, 2024. The auditory devices and smoke/carbon monoxide detectors were tested and operational. Emergency disaster supplies including food/water were present. Emergency evacuation drills were not conducted on a quarterly basis with the last drill approximately 2021. The first aid kit contains all necessary elements. LPA observed the required 'See Something, Say Something' (PUB475) poster in the correct size. The Administrator's Certificate for Leah Ann Fajardo expires on March 10, 2025. LPA conducted an audit of five residents' files and two personnel files. No discrepancies noted. Residents/staff interviews were conducted and medications were audited. No discrepancies noted. Based on the observations made during today's visit, one deficiency is being cited. An Advisory Note is also issued. An exit interview was conducted with Administrators Miguelito and Leah Ann Fajardo, and a copy of this report, and the appeal rights were provided at the end of the visit.