Routine inspection·January 28, 2025

On January 28, 2025, at 1:00 PM, Licensing Program Analysts (LPA), Kenneth Madrigal and Manuel Monter, conducted an unannounced annual inspection and met with Eliza Daquioag, Administrator (ADM) and discussed the purpose of the visit. LPAs observed two staff members, and four residents during the visit. LPAs toured the facility inside and out which included 5 resident rooms, four bathrooms, a living room, a kitchen, a dining area, and staff areas. LPAs toured the front and back of the facility. LPAs observed a shed in the backyard being used a storage area. There were no obstructions that blocked the emergency exit doors. In the kitchen, LPAs observed that all sharps are in a locked container and that the chemicals are locked in the cabinet. LPAs observed seven-day nonperishable and a two-day perishable food supply. LPAs observed the freezer and refrigerator temperatures recorded within the regulated range. The room temperature is 78 degrees Fahrenheit. The facility water temperature was recorded 109 degrees Fahrenheit.In the hallway, the fire extinguisher was last serviced in January 2025. LPAs observed the emergency fire and earthquake drill logs. The last drill was conducted on December 4, 2024. ADM tested the smoke detectors in the facility. LPAs reviewed three staff records, four resident records, and four resident centrally stored medication records. LPAs conducted two staff interviews (S2 & S3) and one resident interview (R1). LPAs provided ADM CDSS changes in regulations for RCFE/Dementia Flyer. No deficiencies were cited today per today’s visit. A signed copy of this Evaluation Report was provided to the administrator and was reviewed with the administrator.