Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPAs met with staff, Cynthia Manala and Ferdinand Punsalang. They were both advised of the visit.

At approximately 10:30am, with the assistance of staff, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms are battery operated. There is a carbon monoxide detector installed by the kitchen that functions properly. The fire extinguisher is located in the kitchen. It was purchased 10/05/25.

Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food properly stored. Knives were stored in a locked drawer in the kitchen.

Bedrooms: There were six (6) bedrooms of which five (5) designated for residents' use, and one (1) room for staff. Three of the bedrooms (rooms #3, #4, #5) are private. Rooms #1 and #2 are shared. Rooms occupied by residents were properly furnished with appropriate beddings and linens with sufficient lighting.

Bathrooms: There are four (4) bathrooms. Three (3) are designated for residents' use and one is for staff. Bathrooms were properly supplied and had functional fixtures. Hot water temperature was between at 108 to 112 degrees Fahrenheit. Cleaning supplies are being stored in the hallway bathroom.

Common Areas : These included the living room and dining area. The living room has sufficient seating with a coffee table and television. Thers is no fireplace. The dining table is large enough to seat up to six (6) residents. The auditory alarms on all exit doors were on and functional at the time of the visit.