Facility Evaluation Report

Licensing Program Analyst (LPA) Evelin Rios arrived to the facility mentioned above to conduct an unannounced required annual visit. LPA was greeted by a staff who granted entry. Staff contacted the administrator, Marita Amorsolo to inform her LPA was at the facility. In the facility LPA observed a second staff in the kitchen and three (3) residents in the dining area. LPA briefly spoke with the residents. LPA met with the administrator shortly after and explained the reason for the visit. This is a Residential Care Facility for the Elderly (RCFE) with an approved fire clearance for six (6) bedridden residents for a total capacity of six (6) and a hospice waiver for four (4).

At 9:20 AM LPA initiated a physical plant tour of the facility inside and out and the following was observed:

At the entrance of the facility LPA observed a sign in log for visitors, a digital thermometer affixed to the wall and PPE supplies. Along a wall leading to the common area LPA observed required postings such as a facility sketch with marked emergency exits and an assembly point. The administrator certificate was also posted and active.

The facility has an open-concept layout that connects the kitchen, living room, and dining area. LPA observed cameras in the common areas. There are two (2) fire extinguishers, both fully charged with purchase receipts dated 3/11/2026. In the kitchen LPA observed the kitchen to be clean and clear of clutter. Appliances and fixtures were functional. LPA observed a sufficient amount of two-day perishable and seven day non-perishable food in the refrigerator and pantry. Knives and sharps were stored in a locked drawer inaccessible to residents. Centrally stored medication and a fully supplied first aid is stored in a locked kitchen cabinet. In the living room and dining area LPA observed the furniture to be in good repair and sit the capacity of the facility. (Continue to LIC809-C)