Routine inspection·April 22, 2024

On 4/22/24 at 3:45pm, Licensing Program Analyst (LPA) Arvin Villanueva arrived to this facility unannounced to conduct the required annual inspection. LPA initially met with a staff on duty and explained the purpose of the visit. The administrators, Aida Gatchalian and Ma Magnolia Tolon, were notified and arrived shortly after. Present during today's visit, there were 4 resident in care with 2 staff on duty. Two residents were out in the community. The facility is approved to retain/accept 3 hospice residents. The facility is fire cleared for 5 non-ambulatory residents and 1 bedridden resident (bedroom #4 on the facility sketch). At 3:50pm, LPA and Ma Magnolia toured the physical plant of the facility. The facility is a one-story house located in a residential neighborhood. The room temperature was observed to be at 72 degrees F. LPA inspected the kitchen area. The kitchen was observed to be clean, sanitary and odorless. Inside the food pantry was observed to be fully stocked with only food and observed to be clean and free of vermin and insects. Kitchen refrigerator was observed to be at 40 degrees F. and kitchen freezer was observed to be at 0 degrees F. Sharp objects such as knives were observed to be locked and inaccessible to residents in care. The facility maintain a 2 day perishable food and 7 day non-perishable food. Additional food were observed in the additional refrigerators and freezers in the garage area. Technical advisory was provided to obtain and place thermometers in the freezers and refrigerators in the garage to monitor and ensure regulatory temperatures are maintained. LPA observed 3 fire extinguishers and were last served on 3/5/24. LPA observed the laundry room to be equipped with washer and dryer and laundry detergents and other supplies were observed to be locked. The facility maintain an adequate supplies of linen, extra beddings, bath towels and wash clothes for resident use. LPA observed porches and hallways to be unobstructed. Fireplace was observed to be screened and not in used. Medications were observed to be centrally stored, locked and inaccessible to residents in care. LPA observed bedrooms to have adequate space and fully furnished. It was observed that the bedroom marked as "staff room" on the facility sketch is now being utilized as a resident bedroom. Interview with Aida and Ma Magnolia, confirmed that one of the resident in care is currently using that room as their bedroom. Outside the facility, LPA observed a covered porch equipped with outdoor furniture for outdoor activities. Per interview and observation, the fence on the right side of the house has been replaced. LPA observed the backyard and front yard to be free of obstruction and debris. Due to time constraint, LPA Villanueva will return to this facility to complete this annual visit. An exit interview was held with Aida Gatchalian and Ma Magnolia Tolon and a copy of this report was provided.