Facility Evaluation Report

Licensing Program Analysts (LPA) B. Miranda conducted an unannounced visit today February 24, 2026 for the facility’s annual inspection. LPA introduced themselves and was allowed entrance into the facility. LPA met with Administrator Jean Asignacion.

Facility is licensed for 6 residents and has a current census of 3. There are 0 residents on hospice and 0 with a health care plan. Water temperature was checked in the kitchen which read at 113.1 degrees Fahrenheit and the common bathroom which read at 114.9 degrees Fahrenheit. Fire Extinguisher was purchased 4/1/2025 and is within the safety regulation period. Carbon monoxide detectors were tested and in working order.

Jean Asignacion Administrator's Certification expires 11/12/2027. Staff files were reviewed, and training is not current. Resident files were reviewed, and are not current, physician report is not current for R1 & R2. Facility did not provide a current log for disaster drills that are conducted quarterly. First aid kit on site and complete. Tools and knives are not locked and accessible to residents when in the kitchen. There is a locked storage for medications.

LPA inspected the interior and the exterior of the facility including the common living spaces, resident bedrooms and bathrooms, medication storage, kitchen, garage and outdoor areas. Bedrooms were clean, properly furnished, with adequate lighting, and in good repair. Food supply is adequate for 2-day perishable and 7-day nonperishable.