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25 | Licensing Program Analyst (LPA) Jonathan Pineda, conducted a scheduled Pre-licensing inspection to observe the physical plant for compliance and conduct Comp III. LPA contacted Rodelio Aquino by telephone to commence the tele-visit via FaceTime due to COVID-19. The fire department completed their inspection 5/18/20, and approved the facility for six (6) residents ages 60 and over, of which 5 may be non ambulatory. Hospice waiver for 4.
LPA toured the facility inside and out and observed resident accommodations including required furnishing and linens. There are two (2) bathrooms used by residents. Food service including dishes, utensils, food storage and supplies are present. A 7-day supply of non-perishable food and a 2-day supply of perishable food was observed on the property. Toxins were observed locked and inaccessible to residents. Medications were observed locked and inaccessible to residents. LPA observed a first aid manual and kit with all the appropriate items. The facility has the required smoke/carbon monoxide detectors and a fire extinguisher. There are sufficient supplies and space to conduct activities. There is a covered shaded area in the back patio. All facility posting requirements are present. The facility temperature was maintained at 68.6 degrees F during the tele-visit. Discussed continuing operation requirements, reporting requirements, record keeping and physical plant compliance with the applicant. The administrator completed Component III with LPA on this date.
Facility is ready for Licensure pending management approval. This is a change of ownership application and there are six (6) residents currently in care. An exit interview was conducted with applicant Rodelio Aquino
via telephone and a copy of this report along with Applicant/Appeal Rights (LIC9058 01/16) was provided. An electronic email read receipt confirms the documents were received. |