Facility Evaluation Report

On this day, 12/23/25, at 2:00 pm, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA was granted entry by staff, Erlie Manansala, and informed the purpose of visit. LPA also met with other staff, Arlan Punongbayan. LPA called and spoke over the phone with Maria Theresa "Tek" Ordiniza, assistant administrator (AADM), who gave permission to Erlie Manansala to be with LPA in touring the facility. AADM arrived at 2:17 pm.

LPA started the inspection with Erlie Manansala and continued with AADM. LPA inspected the facility inside and out including but not limited to bedrooms, bathrooms, kitchen, dining area, living room, garage, side yard and backyard. There is a supply of 7 days of non-perishable and 2 days of perishable foods. Central storage for medications was observed locked.

Fire extinguisher was observed fully charge with tag showed serviced 7/19/25. Facility has carbon monoxide and smoke detectors that were tested and observed in operating condition during today's visit. Hot water temperature in the one of common bathrooms was tested and measured at 120 degrees Fahrenheit. Facility conducts fire and earthquake drills every quarter and records showed last conducted 11/02/25. First aid kit checked and observed complete with manual.

LPA reviewed 5 residents and 5 staff files. Medications were inspected and compared with doctor's orders and LIC622 Centrally Stored Medication and Destruction Records. P&I/cash resources checked and compared with last recorded balance.