Facility Evaluation Report

On 07/14/2025 at 10:30 AM, Licensing Program Analysts (LPAs) P. Manalo and K.Nguyen arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Executive Director, Marie Lagasca-Cruz, and explained the purpose of the visit.

LPA toured the facility inside and out including but not limited to 7 residents' apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPA observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 73 degrees F. The hot water temperature in a sample of residents’ shared bathroom were measured at 118.4, 112.9, 111.3, 116.6, 115, and 114.6 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid shower pan.

Smoke detectors and carbon monoxide detector were in operating condition during visit. Alarm System Inspection was last conducted on 04/02/2025. Fire extinguisher was last serviced on 11/29/2024. Emergency Disaster Plan was last posted on 10/22/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 06/24/2025.

At 12:46 PM, LPA reviewed 6 residents records. At 1:30 PM, LPA reviewed 6 staff records and 6 of 6 are associated to the facility. At 2:30 PM, LPA reviewed two sample of residents’ medications.