Facility Evaluation Report

On 03/18/2026 at 10:30 AM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Direct Care Staff, Mary Ann Garcia, and explained the purpose of the visit. Co-Administrator, Warlita Rivac, arrived shortly after. Administrator certificate is current. Ksai Liang gave authorization for Warlita Rivac 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. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 73 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 115.2 degrees Fahrenheit. 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 03/18/2026. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 01/12/2026.

At 11:00 AM, LPA reviewed 2 residents records. At 11:21AM, LPA reviewed 3 staff records and 3 of 3 have current first aid training and 2 of 3 associated to the facility. At 2:00 PM, LPA reviewed samples of residents’ medications.