Facility Evaluation Report

On 01/06/26 at 12:30PM, LPA D Panlilio arrived announced for a required annual inspection. LPA met with administrator (ADM) and explained the purpose of the visit. The facility has zero (0) residents and remain under construction.

Ar 12:50PM, LPA toured the facility with ADM including but not limited to bedrooms, bathrooms, kitchen, common area, and backyard. There is one central entry point for universal screening for staff, residents and visitors. A sign-in policy, visitor’s logs, no touch thermometer, additional face masks and hand sanitizers were observed at the screening station. Emergency Disaster Plan, Complaint poster, Personal rights, Cough/sneeze etiquette, proper hand-washing signs were observed posted in common areas. Facility has a mitigation plan in place and the infection control leader is the administrator. Inside and outside pathways were observed free of obstruction and fire hazards. Smoke and Carbon monoxide detectors were operational. Fire extinguisher was observed fully charged. The facility consists of five (5) total bedrooms, and three (3) bathrooms. Bedrooms two (2) and (3) have water damage in the ceilings. No bodies of water observed. A comfortable temperature was maintained at 70 deg F. The facility is in disrepair (leaking pipes, buckling floors, Bosch Security Alarm System issues). LPA observed there are no residents living at the facility. ADM will make corrections/renovations to the facility before accepting any residents. ADM will contact CCLD as soon as the renovations are complete.

Updated copies of the following documents were collected for facility file:

 LIC308- Designation of Facility Responsibility

 LIC610E- Emergency/Disaster Plan including infection control plans

No deficiencies observed during visit. Exit interview conducted and a copy of this report provided .