Facility Evaluation Report

On 01/07/2025 at 09:00AM, Licensing Program Analysts (LPAs) P. Manalo and L. Fontanilla arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Care Staff, Leonora Maquilan, and explained the purpose of the visit. Care Staff stated that the Licensee/ Administrator has been out of the country since 12/19/2024 and not available.

LPAs toured facility inside and out including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms which all 5 bedrooms are occupied by the residents. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 68 degrees Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature was measured at 110.7 degrees Fahrenheit.

Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 09/12/2024. First aid kit was observed to be complete.

Staff does not have access to the staff and resident files. Files were not available for review during the visit.

Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 01/21/2025

LIC 308 Designation of Administrative Responsibility