Facility Evaluation Report

On 02/19/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and requested to meet with. Licensee(L1) Maria Emma Pangilinan. LPA toured facility with L1. All six residents were present during the inspection. Three residents were observed sitting in the living room.

The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside.

At 10:24AM, medications were checked and observed unlocked medication closet. Residents’ MARS were reviewed. At 12:16PM, tools were observed in kitchen drawer unlock. An adequate supply of perishable and non-perishable food was observed. Sharps and knives observed locked under kitchen sink and in kitchen drawer.

Refrigerator temperature maintained at 38 degrees F and freezer maintained at 0 degree F. Fire extinguisher was observed with a service date of: 12/17/24. Chemicals observed lock in laundry room. Washer and dryer observed functional and operational during visit.

Residents' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are observed with securely fastened grab bars and non-skid mat. Hot water temperature was tested range at 106.3 and 106.5 degrees F in master bathroom and