Facility Evaluation Report

On this day, March 13, 2026, at 2:30 pm, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection and met with staff, Cynthia Seguiran, and informed the reason for visit. LPA spoke over the phone with Corshema Taylor, administrator ADM), who gave permission to Cynthia Seguiran to be with LPA during inspection. ADM arrived at around 3:55 pm.

LPA toured the facility inside out. LPA inspected the living room, dining area, kitchen, bathroom, residents rooms, garage, side and backyard. Food supplies were checked and observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications was observed locked. Cleaning supplies and sharps were kept in locked cabinets.

Facility has smoke and carbon monoxide detectors that were tested and observed in operating condition on this day. Hot water temperature in the common bathroom was tested and measured at 110.8 degrees Fahrenheit. Fire extinguisher checked, observed fully charge with tag showed serviced on December 2, 2025. Facility conducts disaster drills and records showed last conducted February 15, 2026.

LPA reviewed 5 staff and 4 residents records and interviewed 2 residents. Medications checked, and compared with LIC622 Centrally Stored Medication and Destruction Records and doctor's orders. Facility currently does not handle residents' cash resources/P&I.