Routine inspection·February 13, 2023

Licensing Program Analyst (LPA) Steve Chang conducted an annual inspection visit, and met with Administrator (ADM) Philomena Agbontaen. Upon arrival, ADM took LPA body temperature and checked LPA into the guest book. Screening station with thermometer, masks, hand sanitizer was observed at the main entrance. 2 staff and 5 residents were observed in facility. LPA toured the facility inside out with ADM. LPA inspected living room, family room, kitchen, dinning area, and laundry room. Medication closet, knives closet were observed locked. The cleaning product cabinet under the sink in kitchen was observed unlocked. ADM stated the facility will put it on lock within 5 days. There are 4 rooms for residents, and one staff live-in room in facility. 3 bathrooms are in facility. Paper towels were observed with holders, Some trash cans were observed without covers. ADM stated the facility will replace all the trash cans with covers within 5 days. Posters of washing hands for 20 seconds were not observed in kitchen even though there were posters of washing hands by the sinks in kitchen and restrooms. ADM stated the facility will put the posters of washing hands for 20 seconds in the kitchen and restrooms within 5 days. Cloth towels were observed in kitchen. Room temperature was observed at 70 degree F, and hot water temperature was observed at 105 degree F. 2 days perishable food supplies and 7 days non perishable food supplies were observed sufficient. The facility is equipped with smoke and carbon monoxide detectors. The facility equipped with fire alarm. ADM tested the smoke and carbon monoxide detectors, and they were working fine. The fire extinguishers were observed on service on 03/15/2022. LPA inspected the backyard, there was no obstruction to block the walkway. ADM stated all staff and residents are fully vaccinated and done with booster. No citation noted during inspection. Exit interview was conducted with ADM. This report was provided to ADM for signature.