Facility Evaluation Report

Licensing Program Analyst (LPA ) Elena Mallett arrived at the facility to conduct an unannounced Annual Continuation visit. The first visit was conducted on 07/13/26. LPA returned today to complete the remaining domains in the CARE tool. LPA met with Administrator Juanito Paguio and the purpose of the visit was explained. The facility is licensed to serve developmentally disabled adults ages 18-59 years old, one which may be non-ambulatory.

LPA toured the common areas of the facility and no immediate health and safety risk were observed.

LPA completed the visit using Compliance and Regulatory Enforcement Tools (CARE) . The following domains were completed during the visit.

Personal Records - Training: Locked storage space for staff files was observed. 5 staff files were reviewed for Criminal Background Clearance, First Aid training, initial and ongoing training and health screening. No issues were observed. Administrator Paguio Administrator's certificate is current until 01/13/2028.

Health Related Services : First Aid Kit and manual was observed. Facility utilizes a Medical Record Log. All four clients' medicine logs were reviewed with no issues. The medication is kept locked and centrally stored. Staff was properly trained to dispense medication. One client has a restricted health condition and documentation related to care and staff training was observed.

Client Records - Incident Reports: Locked Storage space for client files was observed. 5 client files were reviewed for Emergency Face sheet, Physician’s Report with ambulatory status, Needs and Services plan, Admission Agreement and Personal Rights. A deficiency was cited. See 809-D. Facility dispenses P&I money to clients. All four clients' files were reviewed with no issues. Facility maintains a current Surety Bond.