Facility Evaluation Report

On 01/07/26, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. LPA introduced self, stated the purpose of the visit, and requested to meet with Administrator. LPA met with caregiver John Baniage. Licensee/ Administrator (L1) Neil Orillosa was called and stated unable to attend meeting. L1 informed LPA manager (S1) Jade Gomez will arrive shortly and L1 authorized S1 to sign and receive report.

LPA toured facility with S1. All residents were present during inspection of which 3 residents are receiving hospice care. Residents were observed sitting in the common areas and in the bedroom during tour. 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. Washer and dryer was operational during visit.

All residents’ and a sample of staff files were reviewed. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature is maintained at 35 degrees F and freezer at -1 degrees F. Cleaning solutions were observed locked under kitchen sink with a broken lock. A small knife was observed locked in the kitchen drawer.

Medications were observed locked in kitchen shelves. MARs were reviewed and medications were checked. First aid kit was checked. Fire extinguisher was observed with a service date of: 03/31/25. All bedrooms were observed to have the required furnishings and with adequate lightning. R1 was observed laying in bedroom using full rails and R3 bed was observed with half rails up.

Extra linens and towels were observed. The bathrooms were toured and observed with non-skid mats and grabbed bars. Hot water tested at 105.2 and 105.5 degrees F in the bathroom in master bedroom, and 105.2 degrees F in hall bathroom.