Facility Evaluation Report

On 05/28/2025 at 9:45 AM, Licensing Program Analyst (LPAs) P. Manalo and L. Fontanilla arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Administrator, Antonia Mari, and explained the purpose of the visit. Administrator certificate is current.

LPA toured facility with inside and out including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 7 total bedrooms which 6 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 71 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 116.3 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats.

Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 06/24/2024. Emergency Disaster Plan was last posted on 09/01/2024.

At 10:07 AM, LPAs reviewed 6 residents records. At 10:32 AM, LPAs reviewed 3 staff records and all are associated to the facility. At 12:30, LPAs reviewed a sample of resident’s medications.