Facility Evaluation Report

On 2/20/2026 at 9:45AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Executive Director, Aireen Tibon and explained the reason for the visit.

LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, activity rooms, common areas, and outdoor area. Centrally stored medications were locked in medication carts located in med rooms. First Aid kit is complete. Smoke detectors were interconnected with sprinkler system. Carbon monoxide detectors were observed in resident's rooms. Fire extinguishers were observed to be full and last serviced on 2/11/2026. One week of nonperishable and 2-day of perishable food supplies were available. Facility orders food twice a week. Freezer’s temperature was registered at -2 degree F while the refrigerator’s temperature was recorded at 33 degrees F. Hot water temperature was measured at 117.2 degrees F in a resident's bathroom. Grab bars for each toilet and shower were installed. Non-skid mats were observed. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished.

LPA reviewed 5 residents and 5 staff files starting at around 1:50PM. Residents and staff files were complete. Staff are fingerprint cleared and associated to the facility. LPA reviewed a sample of resident's medications during inspection.

No deficiencies are being cited on this date.

Exit interview conducted. A copy of this report provided.