Facility Evaluation Report

On 01/08/2026 at 8:55 AM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Direct Care Staff, Elizabeth Alba, and explained the purpose of the visit. Administrator arrived shortly after but had to leave during the visit. Administrator gave authorization for staff to sign the report.

LPA toured facility inside and out including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 6 total bedrooms which 5 bedrooms are occupied by the residents and 1 bedroom is occupied by staff. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPA observed lighting in all rooms is adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 106 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods.

Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 01/06/2026. First kit was observed to be complete. Emergency disaster drill was last conducted on 12/16/2025.

At 9:45 AM, LPA reviewed 5 residents records. At 10:22 AM, LPA reviewed 4 staff records and 3 of 4 have current first aid training and 4 of 4 associated to the facility. At 11:45 AM, LPA reviewed a sample of resident’s medications.