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25 | On 3/7/2025, Licensing Program Analysts(LPAs) John Calandra and Yi Sam Jian arrived at the facility at 12:50 AM to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Krizia Caliwag- Boyer, Administrator/Licensee and explained the purpose of the visit.
LPAs toured the physical plant. This is a 1-story building with 5 bedrooms and 2 bathrooms, a living room, dining room, kitchen, and outdoor space/backyard. All bedrooms had the required furniture and sufficient lighting. No accessible bodies of water or hazards were observed in hallways or the backyard. The facility's fire alarms and Carbon Monoxide detector were observed to be in working order. The facility's first aid kit was observed to have all required items. The facility had the required 7 days of non perishables and 2 days of perishables on site. No food was expired. The facility was maintained at a comfortable temperature of 71 degrees Fahrenheit. The facility's hot water was measured between the required 105-120 degrees Fahrenheit. The facility's fire extinguishers were last serviced on 9/19/2025.
All sharp objects, poisons, and detergents were observed to be locked and in-accessible to persons in care.
LPAs reviewed 3 resident records and 4 staff files. All were observed to be complete.
A review of Centrally stored medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records kept at the facility.
LPA's requested a copy of the LIC 500 (Personnel Summary Report) and LIC 610E by 3/14/2025.
A Technical violation was provided for having no documentation of when the Emergency Disaster Plan was last reviewed which per Title 22 Regulations is required Annually.
An exit interview was conducted. This report was reviewed with Krizia Caliwag-Boyer, Licensee/Administrator and a copy of the report left at the facility. |