Facility Evaluation Report

On 07/16/2025 at 9:30 am, Licensing Program Analysts (LPAs) K. Nguyen and L. Alexander conducted an unannounced 1-Year Required inspection. LPAs met with Zenaide Tisico, the caregiver, and explained the purpose of the visit. Victoria Puruganan, Administrator, arrived at 11:00 am. The Administrator currently holds a certificate (#7005844740) that expires on October 24, 2026. The facility’s fire clearance was approved for six (6) non-ambulatory residents. Hospice waiver approved for two (2) residents.

LPAs toured the facility with the caregiver, including but not limited to bedrooms, bathrooms, kitchen, common area, garage, and backyard. The facility consists of five (5) total bedrooms which one (1) bedroom is occupied by staff, and two (2) bathrooms. No bodies of water observed. A comfortable temperature is maintained at 75 degrees Fahrenheit. LPAs observed that lighting in all rooms is adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 123 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars. Smoke detectors and carbon monoxide detectors were in operating condition during the visit. Fire extinguishers were last serviced on 12/20/2024. The Emergency Disaster Plan was posted. The first aid kit was observed to be complete.