Facility Evaluation Report

On 10/21/2025 at 12:50 PM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Caregiver, Jenny Lagana and explained the purpose of the visit. Jenny phoned the Administrator, Albertina Camaclang to inform. Albertina gave authorization for Jenny to sign the report. The facility’s fire clearance was approved for six (6) residents. All six (6) residents may be non-ambulatory. Hospice waiver approved for one (1) resident. Administrator certificate #7002848740 expires 02/16/2026.

LPA toured facility with Jenny including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of six (6) total bedrooms which four (4) bedrooms are occupied by the residents and two (2) bedrooms is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 71 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. Centrally stored medication and sharps were locked and inaccessible to residents.