Routine inspection·December 18, 2023

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Required Annual Inspection Visit. The LPA introduced himself and disclosed the purpose of the visit with Administrator Jeremy Bagaoisan. The facility was licensed for a capacity of six (6) residents, and at the time of the visit, the facility had a census of six (6). Accompanied by Administrator Bagaoisan, the LPA toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Resident bedrooms contained the required furnishings. The facility had sufficient space and equipment to facilitate dining, visitation, meetings, and client activities. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to clients. Medications were labeled, and stored in locked areas. No pools, nor bodies of water were observed on the premises. Per staff, no firearms or ammunition were kept at the facility. Carbon monoxide detectors, fire extinguisher(s), and a first aid kit were readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and reviewed multiple staff and resident records/files. Staff files revealed 1st Aid Certificates were not maintained at the facility for Staff #1, #2, and #3. A plan of correction was jointly formulated with Administrator Bagaoisan. An exit interview was conducted with Bagaoisan, to whom a copy of this report, LIC 809D, and the Licensee/Appeal Rights (LIC9058), were provided.