Facility Evaluation Report

On this day, August 13, 2025, at 12:40 pm, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with staff, Warlita Romero and Norma Gano. LPA called and spoke over the phone with Justino Balintona, licensee-administrator, and informed the reason for visit. LPA asked, and licensee-administrator authorized Norma Gano to be with LPA during inspection. Licensee-administrator arrived around 1:15 pm.

LPA started inspection with Norma Gano and continued with licensee-administrator. LPA inspected the dining room, kitchen, bedrooms, bathrooms, living room, side and backyards. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications was locked.

Facility has smoke and carbon monoxide detectors that were tested and observed in operating condition. Hot water temperature in the common bathroom was tested, and measured at 111.6 degrees Fahrenheit. Facility conducts drills and record showed last conducted July 12, 2025. Fire extinguisher checked and receipt showed purchased May 20, 2025.

LPA reviewed 5 residents and 5 staff files, and interviewed 4 residents. Medications checked, and compared with doctor's orders and LIC622 Centrally Stored Medication and Destruction Records. Facility does not handle residents' cash resources.