Facility Evaluation Report

On 2/5/2026 at 9:50am, Licensing Program Analyst (LPA) L. Hall conducted an unannounced annual required inspection. LPA met with Caregiver, Josephine Ambagan, and explained the purpose of the visit. Licensee, Jennifer Rances, arrived at 10:27am. Administrator holds a certificate #7033979740 expires 3/6/2026. The fire clearance is approved for two (2) ambulatory and four (4) non-ambulatory residents.

LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and back yard. The facility consists of six (6) bedrooms and two (2) bathrooms. One (1) bedroom occupied by staff. No bodies of water observed. A comfortable temperature is maintained at 74 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 113.4 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of 7-day supply of non-perishable and 2-day of perishable foods.

Smoke detectors/ carbon monoxide were in operating condition during visit. Emergency disaster plan last reviewed 12/23/2025. Fire extinguisher was last purchased 12/27/2025. First aid kit was observed to be complete. Fire drill was last conducted on 01/09/2026.