Facility Evaluation Report

On 03/06/25 at 11AM. Licensing Program Analyst (LPA) Daisy Panlilio arrived announced to conduct a pre-licensing inspection. LPA met with Administrator (ADM) and explained the purpose of the visit. The facility currently has no clients. ADM stated they are waiting for the Assisted Living Program approval for future clients.

At 11:25AM, LPA toured the facility with ADM including but not limited to the clients' bedrooms, common areas, kitchen, and outdoor area. LPA observed a screening station near the front entrance with a no touch temperature probe, visitors' log and hand sanitizer. Indoor and outdoor passageways were observed free of obstruction. There were no bodies of water observed. LPA advised ADM that hot water temperature should be maintained between 105 degrees F and 120 degrees F. Since there are no clients and staff at the facility, ADM agrees to provide 2 days supply of perishable and one week supply of non-perishable foods. Towels, sheets, activity supplies and hygiene products were observed available.

The facility has 3 full bathrooms. LPA observed the shower area has non-skid floor tiles. There are activity materials observed in the living room. Facility has flashlights available for emergency use. There is sufficient lighting throughout facility. First-aid kit was observed complete. Smoke detectors and carbon monoxide were operational. Fire extinguisher was observed fully charged. Proper hand-washing signs, Emergency/Disaster plans/contact information, personal rights were observed posted in common areas.

Exit interview conducted and a copy of this report provided.