Routine inspection·April 11, 2025

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Administrator Mary Grace V. Lazaro. During the visit, LPA observed 2 residents and 2 staff. LPA explained the purpose of the visit. (RGK Home Care is a Residential Care Facility, Level home 4F) LPA toured the facility inside out with staff S1 which included the Living room, kitchen, dining room, 2 restrooms and 3 residents bedrooms. The staff area of the facility was also inspected. The front yard and backyard were inspected. There was no obstruction to block the walkways. While touring the home LPA observed the family room, which was located adjacent to bedroom 4 and kitchen was modified to a staff room and hall way. LPA observed over half of the family room was now converted to a staff bedroom, and the rest was converted to a hallway. LPA spoke to the landlord of the home, who confirmed the changes to the facility were made prior to being license. The landlord stated he/she would look into getting a permit for the new staff room or removing it all together. Two-day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 75 degrees F, and hot water temperature was measured at 108 degrees F in both resident bathrooms. Page 1 Out of 2. Fire extinguisher was serviced in December 5, 2024. the facility was equipped with smoke and carbon monoxide detectors. Smoke detectors was tested by ADM, and were functional. LPA observed facility first aid kit and facility fire/earthquake drill log. The facility's last drill was on March 2, 2025. LPA reviewed facility records for 3 staff and 3 residents. LPA reviewed 3 resident medications and centrally stored medication records. LPA reviewed 3 P&I records. No deficiencies cited during today's visit. This report was reviewed with Administrator Mary Grace V. Lazaro and a copy of the signed report was provided. Page 2 Out of 2. END OF REPORT.