Facility Evaluation Report

On 04/08/2025 at 8:40 AM, Licensing Program Analysts (LPAs) P. Manalo and K. Nguyen arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Administrator, Victor De Leon and explained the purpose of the visit. Administrator certificate is current. The facility’s fire clearance was approved for six (6) ambulatory only.

LPAs toured the facility including inside and out but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms which 4 bedrooms are occupied by the clients and 1 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water. A comfortable temperature for clients is maintained at 70 degree Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of the clients. 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 10/23/2024. First aid kit was observed to be complete. Fire drill was last conducted on 11/23/2024.

At 9:22 AM, 4 of clients records were reviewed. At 9:56 AM, 3 staff records were reviewed. All 3 staff have current first aid training and are associated to the facility. LPAs reviewed client's P&I money with log. LPAs reviewed a sample of client's medications.