Facility Evaluation Report

On 02/13/25, Licensing Program Analysts (LPA) M. Yang arrived unannounced to conduct an annual visit.

LPA introduce self, stated the purpose of the visit and request to meet with Administrator. LPA was greeted by staff Juliet Madiclum. LPA toured facility with Staff Eufemia Caridad. Licensee Jethronel Lazaga was called and arrived later during visit. LPA toured facility with Licensee. All six resident were present during inspection.

The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside. Fire extinguisher was observed with a service date of 01/06/25 throughout the facility. Temperature maintained for refrigerator at 37 degrees F and freezer at 0 degrees F. An adequate supply of perishable and non-perishable food was observed. Expired non-perishable food was observed. Knives were observed in kitchen drawer unlock. Cleaning supplies observed unlocked under kitchen sink, in laundry room, in the garage, and in the garage chemical cabinet.

All bedrooms were observed to have required furnishings and with adequate lightening. Bathrooms were properly equipped and operational. All bathrooms are observed with securely fastened grab bars and non-skid mat. Chemical bottle and a medication bottle were observed under bathroom sink unlock near room 5.

Outside of facility toured and observed to be free of debris. Adequate outdoor seatings observed for residents. Side gate observed self-closing. Medications observed unlocked in medication closet. MARs were reviewed. All residents’ and sample of staff files were reviewed to have all required documents. Carbon monoxide and smoke detectors were tested and observed to be operational.