Facility Evaluation Report

On 12/16/2025 at 1:40 p.m., Licensing Program Analyst (LPA) Evelin Rios arrived to this facility to conduct an unannounced, annual inspection. LPA was greeted by Staff #1(S1), who granted access. S1 contacted the administrator, Marita Amorsolo-Samaniego. Another staff, Staff #2 (S2) was observed by LPA in the facility assisting residents. The administrator and designee, Tatiana Buendia arrived shortly after. The administrator could not stay for the duration of the visit and designated, Tatiana to sign todays report. By the entrance LPA observed that the facility had required postings, which include but are not limited to the Complaint Poster, Long-Term Care Ombudsman information, and Residents' Rights.

At approximately 2:00 p.m., LPA conducted an inspection of the facility inside and out and the following was observed:

Common Areas : These include the sitting area at the front of the facility, and the living/dining area. The sitting area, living/dining area were clean and clear of clutter, furnished appropriately and sit the capacity of the facility. The furniture was observed to be in good repair.

Bedrooms: There are five (5) bedrooms designated for residents. One (1) bedroom is shared. LPA observed each resident room to be properly furnished and have sufficient storage. Exit doors had auditory alarms that were on and observed functioning.

The facility is equipped with hardwired smoke and carbon monoxide detectors through out the facility. LPA observed S2 test detectors at approximately 2:11 p.m. and were observed to be functioning.