Facility Evaluation Report

On 5/9/2025, at 1:30 PM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct the Required Annual Inspection of the facility. Upon arrival, LPA stated the purpose of the visit to Lead Staff Marilou Ladaban.

The LPA toured the interior and exterior of the facility, inspecting the kitchen, food and emergency supply storage areas, dining area, shared restrooms, community living spaces, client rooms, and the grounds of the facility. More than the required minimum of 7 days of nonperishable and 2 days of perishable foods were appropriately stored. The maximum hot water temperature was 130 degrees Fahrenheit (above 120 degrees safe temperature) and the temperature in the common area was 80 degrees Fahrenheit.

The carbon monoxide and smoke detectors were fully operational. The fire extinguisher was last serviced on 5/14/2025. The LPA observed postings in the facility that included a complaint poster, Ombudsman, and Personal Rights posters. An administrator is on site more than the minimum of 20 hours a week to oversee the proper business operations.

The LPA reviewed facility records, records of 4 staff members, and records of 5 residents.

1 Type-A citation issued during the inspection (refer to LIC 809-D for details).

Exit interview conducted and a copy of this report provided.