Facility Evaluation Report

On 02/27/2026 at 8:00 AM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Caregiver, Anabelle Mendoza, and explained the purpose of the visit. Ms. Mendoza phoned, Licensee/Administrator, Victoria Lingbanan, to inform. Ms. Lingbanan arrived shortly after. The facility’s fire clearance was approved for six (6) residents in which all may be non-ambulatory. Hospice waiver approved for one (1). Administrator Certificate #7001801740 expires 12/31/2027.

LPA toured facility with Victoria including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of five (5) total bedrooms which all five bedrooms are occupied by the residents. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 75 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 116.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one-week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents.