Facility Evaluation Report

On 7/15/2026 at around 11:00 a.m., Licensing Program Analyst (LPA) Kelly Nguyen arrived unannounced to conduct the required annual inspection and met with Assistant Administrator Alejandria Bautista. Administrator (ADM) Romulo Bautista was unavailable during the visit and authorized Alejandria to sign the report.

LPA with Assistance Administrator inspected the facility inside and out, including but not limited to 4 resident rooms, 2 bathrooms, dining area, garage, and backyard. LPA observed a sufficient supply of perishable and nonperishable foods. Hygiene products, towels, sheets, and warm blankets were observed. Bathrooms were observed with grab bars and nonskid mats for the safety of residents. The fire extinguisher in the kitchen appears full and was last inspected on 8/19/2025. The first aid kit was complete. The last fire drill was conducted on 6/24/2026. Hot water temperature measured 109 degrees Fahrenheit. Smoke detectors and carbon monoxide detectors were in operation during the visit. Emergency disaster plan last updated on 1/3/2026.

At 11:30 am, LPA reviewed 6 resident files and 4 staff files. 4 out of 4 staff have TB on file; LPA reviewed medication and log.

No deficiencies were cited during the visit. Exit interview conducted and a copy of this report provided.