Facility Evaluation Report

On 07/01/2025 at 8:50 AM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Direct Care Staff, Lydia Ainza, and explained the purpose of the visit. Administrator came shortly after. Administrator certificate is current. The facility’s fire clearance was approved for 2 ambulatory and 4 non-ambulatory.

LPA toured the facility including inside and out 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 clients and 1 bedroom is occupied by staff. There are no bodies of water. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature in the shared clients’ bathroom was measured at 105-degree Fahrenheit. All toilets, hand washing and bathing are safe, sanitary and in operating condition. The supply of extra hygiene's was available for clients. There is a minimum of one week supply of nonperishable and 2-day perishables food supply.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 02/05/2025. First aid kit was observed to be complete. Emergency Drill was last conducted on 06/05/2025.

At 9:02 AM, 6 of clients’ records were reviewed. At 9:39 AM, 3 staff records were reviewed and 3 of 3 have current first aid training and are associated to the facility. At 11:00 AM, LPA reviewed client's P&I money with log. At 11:30 AM, LPA reviewed two sample of clients’ medications.

No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.