Facility Evaluation Report

Licensing Program Analyst (LPA) Daniel Konishi conducted the unannounced required annual inspection. LPA met with the caregiver, Arney Manseguiao and the purpose for the visit was explained. Shortly after the House Manager, Rudy Ignacio arrived and LPA explained the purpose of the visit. This home is licensed to serve the age range 60 and over. Six (6) non-ambulatory only. Hospice waiver for six (6).

The initial annual visit was conducted on 07/31/2025. During the initial visit the following six (6) Compliance and Regulatory Enforcement (CARE) tool domains were observed and reviewed: Infection Control, Physical Plant Environmental Safety, Resident Rights-Information, Planned Activities, Food Services, and Disaster Preparedness.

During today’s annual visit, the following six (6) Compliance and Regulatory Enforcement (CARE) tool domains were observed and reviewed: Operational Requirements, Staffing, Personnel Records-Training, Resident Records-Personnel Reports, Incidental Medical and Dental, and Resident with Special Health Needs.

Operational Requirements: The facility has an approved fire clearance, there is a plan of operation and maintains the required liability insurance in place.

Staffing : There appears to be sufficient staffing at all times in the facility. With night staff that is trained and able to assist in the care and supervision of the residents in the case of an emergency.