Facility Evaluation Report

On 06/02/25 at 9:35AM, Licensing Program Analyst (LPA) Gina Saucedo, arrived to conduct an unannounced, annual inspection at the facility. Upon arrival, LPA Saucedo met with caregiver George Siapno and disclosed the purpose of the visit. Thresiamma Mathew the licensee arrived about fifteen (15) minutes later.

LPA asked for the census, resident, and staff files.

A physical tour was conducted at 10:15AM and observed the following:

Bedrooms: There are seven (7) bedrooms and three (3) bathrooms. One (1) of the seven (7) bedrooms is used as a staff room. There are (6) resident’s rooms, two (2) of them are currently vacant. All bedrooms and bathrooms were toured and were properly furnished and have appropriate bedding, linens, toiletry, and lightning. The bathrooms have proper toiletry, grab bars at and non-skid mats. The bathroom temperatures of the water are within regulations reading at 114-116-degree Fahrenheit.

Outside/Backyard: The outside/backyard has furniture for the residents with proper seating. The facility does have a signal system. The facility does not have a pool or any bodies of water. The pool was removed. The outside/backyard can be accessed from the dining/living room area and hallway area. There is one (1) shed in the backyard used as a storage. The washer and dryer are located outside in the backyard. The chemicals are in the backyard inaccessible to the residents. There is no garage.