Post-licensing visit·July 28, 2023

On 07/28/2023 at 12:35 PM, Licensing Program Analyst (LPA) Pang Lee arrived at this facility unannounced to conduct a post-licensing inspection. LPA Lee arrived and was greeted by designation of Administrative Responsibility, Glenda Molinyawe. LPA Lee explained the purpose of the visit. Administrator, Sisayan Isagani certificate # 6008950740 will expires on 10/23/2023. There are currently six (6) residents living at the facility. LPA toured and inspected the physical plant inside and outside with Glenda, to ensure there were no health and safety concerns. LPA observed the kitchen, bedrooms, bathrooms, and common areas. LPA observed the facility is in good repair. LPA observed sufficient furniture and lighting throughout the facility. LPA observed the rooms to be clean and organized with comfortable furnishings. The hot water temperature was measured at 109.6 degree Fahrenheit. The temperature inside the facility measured at 73 degrees Fahrenheit which was within the required range of 68-85 degrees Fahrenheit. LPA observed supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days maintained on the premises. LPA observed the centrally stored medication areas to be locked and made inaccessible to the residents at this time. LPA observed the fire extinguisher and first aid kit were up to date. LPA observed smoke and carbon monoxide detector in the facility are in good repair. LPA observed the following posted in the entrance of the facility. See Something Say Something poster, Ombudsman poster, Reporting Requirements, Resident Personal Rights, Evacuation Routes and facility license was all posted as required. LPA reviewed (6) resident files and (3) staff files and they are complete. LPA reviewed criminal record clearances. A review of staff records indicates that all facility staff or other individuals who require caregiver background checks are fingerprint cleared and associated to the facility. Per the California Code of Regulations, Title 22, Division 6, Chapter 6, no violations cited during this visit. Exit interview held with Administrator and a copy of report given at the conclusion of the visit.