Facility Evaluation Report

While at the facility conducting investigation of a complaint (Complaint Control # 15-AS-20260618105114), LPA conducted inspection with staff, Kumba Quemollu and upon review of residents' records, Licensing Program Analyst (LPA) Delmundo observed the following:

at 11:36 am, mattress, broken glass closet door, detached fenced wood plank in the side yard. Side fence gate pad locked.

at 11:37 am, broken folded chair blocking the fence gate and plywood in the backyard. Fence gate pad locked.

at 11:40 am, closet door missing in one of the resident's rooms of which the staff stated the glass closet door was broken by the resident sometime in December 2025.

at 11:50 am, dowel on the sliding exit door in the resident room preventing the door to be opened.

at 11:52 am, razor in the ensuite bathroom.

at diaper rash ointment in one of the resident's room where dowel was observed.

at 11:56 pm, transitions strips on the flooring all throughout the facility were missing of which tape were used.

three (3) out of 4 residents' LIC601 Identification and Emergency Contact Information were not filed-up properly - either left blank or indicated N/A on the following: resident's name; responsible person; name of nearest relative date admitted to the facility; date left; reason(s) for leaving. The other 1 residents does not have LIC601 on file.

all 3 entrance and exit doors' auditory signals not working.