Facility Evaluation Report

On 03/07/2025 at 11:30 AM, Licensing Program Analysts (LPAs) P. Manalo and L. Fontanilla arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Administrator, Cristina Concepcion, and explained the purpose of the visit. Administrator certificate is current and expires on 12/10/2026. The facility’s fire clearance was approved for only four (4) may be non-ambulatory and hospice waiver of three (3) .

LPAs 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 4 bedrooms are occupied by the residents and 2 bedroom is occupied by staff. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the resident's bathroom was measured at 129.1 degrees Fahrenheit. Both residents’ bathrooms are equipped with grab bars, non-skid mats, and non-skid shower pans. 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 03/25/2024. First aid kit was observed to be complete.

At 12:16 PM, LPAs reviewed 4 residents records. At 12:42 PM, LPA reviewed 4 staff records. At 2:00 PM, LPA reviewed two sample of residents' medications.