Facility Evaluation Report

On 01/14/25, 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 met with staff Edison Pascual. Licensee Jethronel Lazaga was called and arrived shortly during visit. LPA toured facility with Licensee. All six residents were present during inspection. Two residents were observed sitting at the dining tablet and four residents observed in their bedroom 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. 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. At 09:35AM, a knife observed in the kitchen sink unlocked. Medication cup filled with medication tablets were observed unlock in kitchen drawer. Laundry detergent was observed unlocked in the laundry room. Fire extinguishers were observed with a service date of 01/06/25 throughout the facility. Last fire drill conducted on 11/15/25.

All bedrooms were observed to have required furnishings and with adequate lighting. Bathrooms were properly equipped and operational. All bathrooms are observed with securely fastened grab bars and non-skid mats. Hot water tested maintained at 112.1 degree F in bathroom 1 and range at 109.2 and 111.7 degree F in shared bathroom.

Outside of facility toured and observed to be free of debris. Adequate outdoor seating observed for residents. Side gate observed self-closing.