Facility Evaluation Report

On 5/3/2024 at 9:25am, Licensing Program Analysts LPAs L. Hall and T. Syess- Gibson conducted an unannounced Annual 1-year required inspection. LPAs met with Josephine Ambagan, Caregiver , and explained the reason for the visit. Administrator, Ronan Rances, arrived at 10:05am. The administrator currently holds a certificate (#6056425740) that expires on 07/15/2024. The facility’s fire clearance was approved for three (3) ambulatory and three (3) non-ambulatory. Hospice waiver for four (4).

LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area, garage, and backyard. The facility consists of five (5) bedrooms and two (2) bathroom. One (1) bedroom #5 is occupied by staff. No bodies of water observed. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. A comfortable temperature is maintained at 73 degrees Fahrenheit. LPAs 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 120.1 degrees Fahrenheit. Night lights are maintained in hallways and passages. Residents’ bathrooms are equipped with grab bars no and non slip mats. Facility has a 7-day supply of perishables and 2-day non perishable foods available for residents.