Facility Evaluation Report

Licensing Program Analyst (LPA) Blanca Gonzalez conducted an unannounced required annual visit. LPA was met by caregiver Evelyn Valera and the purpose of the visit was explained. Administrator Teresita Maralit was advised telephonically.

The facility is licensed to serve residents age range 60 and over, approved for six (6) non-ambulatory of which one (1) may be bedridden. Approved hospice waiver for two (2). The facility is a single-story home located in a residential area of San Dimas. The home consists of four (4) resident bedrooms, one (1) staff room, two (2) resident bathrooms, one (1) staff bathroom, living room, dining area, TV room, laundry room, front and backyards.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

The front and backyard are well maintained and there are no pools or large bodies of water. Passageways and exits are free of obstructions.

Smoke detectors were observed throughout the facility and are operable. There is a carbon monoxide detector located in the hallway of the home, tested and not operable. Deficiency cited. There is a fire extinguisher located in the kitchen which was observed to be charged. Emergency drills conducted quarterly, last drill was August 2025.