Facility Evaluation Report

On 11/19/2025 at 1:45PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Vincent Catequista and explained the purpose of the visit. Administrator, Joselito Guzman was unable to be at the facility and designated caregiver to sign licensing reports.

LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, laundry room, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguisher was observed to be full. Facility has a 2-day of perishable food supplies available. Hot water temperature was measured at 112.5 degrees F in the kitchen sink. LPA observed grab bars and non-skid mat in the bathrooms. First Aid kit is complete. LPA reviewed 6 residents and 3 staff files starting at 1:50PM. All staff are fingerprint cleared and associated to the facility. LPA reviewed a sample of resident's medications during inspection.

At 2:30PM, LPA observed incomplete resident files for R1, R2, R3, R4, and R6. Details of the missing documents were given to facility staff.

At 3:25PM, LPA observed S2 and S3 does not have current annual training.

At 3:30PM, LPA observed S1 did not have TB test and health screen on file.

At 3:35PM, LPA observed S1 did not have first aid training on file.