Facility Evaluation Report

On this day at around 10 am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct an annual required inspection. LPA met with staff Restituto Maniquiz. LPA explained to Maniquiz the purpose of the visit. The Administrator Shirley Bordon arrived at around 11 am.

During the visit, LPA inspected the facility inside and out including but not limited to resident bedrooms, kitchen, dining area, living area, garage and backyard. Hot water in the kitchen faucet measured at 105 Fahrenheit. There was sufficient supply of perishable and non perishable foods. Three (3) fire extinguishers that appeared full and were last serviced on 4/2/2025 were observed. Carbon monoxide and smoke detectors were tested and observed operational. Hallways and passageways were observed free of obstruction. The facility has ample supply of towels, sheets and warm blankets. Fire drill was conducted on 4/18/25. First Aid Kit is complete.

At around 10:20 am, LPA reviewed medications and Medication Administration Record (MAR). At 10:45 am, LPA reviewed P&I money and log. The facility has surety bond sufficient to cover the amount of cash being handled at one time. At around 11:10 am, LPA reviewed 3 resident files and 4 staff files.