Facility Evaluation Report

On 01/14/26 at 4PM, Licensing Program Analyst (LPA) Daisy Panlilio conducted an unannounced required one year inspection and met with staff (Manager on duty (MOD), Wellness Director (WD)). LPA explained the purpose of the visit with MOD and WD.

At 04:10PM, LPA toured the facility including but not limited to the front entrance, screening station, kitchen, bathrooms, bedrooms and common areas. There is one central entry point for universal screening for staff, residents and visitors. An electronic sign-in policy, visitor’s logs, no touch thermometer, additional face masks and hand sanitizers were observed at the front desk screening station. Emergency Disaster Plan, Complaint poster, Personal rights, Cough/sneeze etiquette, proper hand-washing signs were observed posted in common areas. Facility has a sufficient 2-day perishable and 7-day non-perishable food supply.

Facility has a 30-day supply of PPEs, paper, medications locked in cabinets. Comfortable temperature is maintained at 70 deg F. Hot water temperature was measured at 117 deg F.

Facility has a mitigation plan in place and the infection control leader is the administrator. Inside and outside pathways were free of obstruction and fire hazards. Smoke and Carbon monoxide detectors were operational. Fire extinguishers were observed fully charged and last inspected on 11/10/26. LPA observed stairwell lift chairs for evacuation. Inside and outside pathways were observed clear and free of fire hazards. LPA reviewed 5 staff and 10 resident files.