Facility Evaluation Report

On 04/01/2025 at 12:40 PM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Mirriam Para and explained the purpose of the visit. Administrator certificate is current. The facility’s fire clearance was approved for capacity of six (6) all may be non-ambulatory and hospice waiver of four (4).

LPA toured facility with Administrator 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. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. 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 detector were in operating condition during visit. Fire extinguisher was last serviced on 05/26/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 01/16/2025.

At 12:54 PM, LPA reviewed 2 residents records. At 1:15 PM, LPA reviewed 3 staff records and all have current first aid training and associated to the facility. At 3:20 PM, LPA reviewed resident’s medications.