Facility Evaluation Report

On this day, March 10, 2025, at 12:55 pm, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual inspection. LPA met with staff, Allan Gacusan and Maricel Gacusan. LPA called and spoke over the phone with Lisset Dizon, administrator (ADM), and informed the reason for visit. ADM gave permission to Allan Gacusan to be with LPA in touring the facility. ADM arrived at around 1:50 pm.

LPA toured the facility inside out. LPA inspected the living room, dining area, kitchen, bathrooms, residents rooms, garage, front, side and backyard. Food were inspected and observed supplies of 2 days of perishables and 7 days of non-perishables. Cabinets for sharps and cleaning supplies and closet where residents medications are centrally stored were observed locked.

Facility has smoke and carbon monoxide detectors that were tested and observed in operating condition. Hot water temperature in the common bathroom on the second floor was tested, and measured at 109.9 degrees Fahrenheit. Facility conducts fire and earthquake drills every quarter with records showed last conducted 2/05/25 and 1/06/25 respectively. Fire extinguishers checked, observed fully charge with tags showed serviced 3/04/25.

LPA reviewed 5 staff and 4 residents files. Medications checked, and compare with doctor's orders and LIC622 Centrally Stored Medication and Destruction Records. Residents' P&I checked and compared with last recorded balance.