Facility Evaluation Report

On 10/13/2025 at 1:00PM, Licensing Program Analysts (LPAs) Andrew Christy and James Sampair arrived unannounced to conduct the Required Annual Inspection. Upon entry, LPA stated the purpose of the visit to Staff Members Alena Ilagan and Asterio Quiblat. Manager Vicente Deperalta arrived at approximately 2:00 PM.

The LPAs inspected the interior and exterior of the facility. The inspection of the physical plant included the kitchen, dining area, restrooms, community living spaces, resident rooms, storage areas, garage, 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 hot water temperature in the resident's bathroom was measured to 114.8 degrees Fahrenheit and the living room temperature was 71.4 degrees Fahrenheit. The fire extinguisher was last serviced on 09/16/2024. The carbon monoxide and smoke detectors were fully operational. The LPAs observed 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.

LPAs reviewed the facility records, records of 5 residents, and records of 5 staff members. The Emergency Disaster Plan was last reviewed 10/13/2025. Quarterly emergency drills were last conducted 09/06/2025.