Facility Evaluation Report

On this day, April 14, 2025, at 2:35 p.m., Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with Laura Carter, administrator (ADM), and informed the reason for visit. LPA also met with other staff, Edna Yee and Marc Anthony Pascua.

LPA toured the facility inside and out with ADM. The facility comprises of a 2 level building, a detached cottage and detached storage/office. LPA inspected the bedrooms, bathrooms, kitchen, dining and living rooms, detached storage/office and residents' room in detached cottage. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications was observed locked.

Fire extinguishers were observed fully charge with tags showed serviced October 15, 2025. Facility has carbon monoxide and smoke detectors that were tested and observed in operating condition on this day. Hot water temperature in one of the common bathrooms was tested and measured at 111.1 degrees Fahrenheit. Facility conducts disaster drills and records showed fire drill last conducted March 23, 2026.

LPA reviewed 5 residents and 5 staff files. Medications were checked and compared with doctor's order and LIC622 Centrally Stored Medication and Destruction Records. Residents' P&I were checked and compared with the last recorded balance.