Health check·September 30, 2021

Licensing Program Analysts (LPA) Fernandes-Goes conducted an unannounced Case Management Health Checks inspection to this facility and was welcome by Mary Quiambao - staff . Administrator Cora Bacani was contacted by phone and spoke with LPA during visit. Facility has 5 residents with no one on hospice care at this time. Facility has activities for residents during the day. Facility has built a four wall room in the garage (picture on file) that was being used as a staff room. However, facility didn't acquire a permit and has no fire clearance for the garage room. Penngrove Fire Marshall contacted Department stating that room can only be used as a break/storage room and is waiting for fire alarm system before clearing room in garage for such. Administrator Cora Bacani understands that garage room can not be used as staff room at this time and will have mattress against the wall in this room removed. Penngrove Fire Marshall will be returning to the facility as per administrator Cora Bacani on 10/7/2021. In addition, LPA reviewed files for residents due to a concern from Penngrove Fire Marshall regarding bedridden resident in a room designated for non-ambulatory. Per record review of 5 residents LIC 602 ambulatory status, there are 3 ambulatory & 2 non-ambulatory residents. (see LIC 811) There were no deficiencies cited at this time.