Facility Evaluation Report

On 1/12/2026 at 9:00 AM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct this Required Annual Inspection. Upon entry, the LPA stated the purpose of the visit to Administrator Erlinda Tuazon.

The LPA toured the facility including but not limited to residents’ rooms, bathrooms, kitchen, common areas and the backyard. The LPA observed adequate lighting for the comfort and safety of residents in all rooms. Inside and outside areas are free of obstruction and no bodies of water. The temperature in the dining room was measured at 70.1 degrees Fahrenheit at 10:18 AM. The maximum hot water temperature was measured at 137.3 degrees Fahrenheit, not in the safe range of 105 to 120 degrees Fahrenheit. The residents’ bathrooms are equipped with grab bars and slip-resistant mats. No smoking signs posted for residents on oxygen. There is more than the minimum of a one-week supply of nonperishable food and 2 days of perishable food. Centrally stored medications, sharps, and toxic cleaners are inaccessible to residents in care.

The LPA observed the required postings in the facility, including the Residential Care Facility for the Elderly Complaint Poster, Ombudsman and Personal Rights posters, and the Theft and Loss Policy. Smoke detectors and carbon monoxide detectors were tested and found to be in operating condition. The fire extinguishers were fully charged but the replacements were purchased on 9/26/2024, which was longer ago than the one year requirement. The Emergency Disaster Plan was not reviewed within the past year; the most recent review was on 7/5/2023. Facility cited because emergency, disaster, and fire drills were not conducted on a quarterly basis. The most recent drill was conducted November 2025. First aid kit was observed to be complete. Liability insurance expires on 8/1/2026.