Facility Evaluation Report

On 06/19/2025, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Administrator, Bienvenido ‘Bien’ Cadungog, and the purpose of today’s visit was explained. LPA was granted entry into the facility. The facility is licensed to serve six (6) elderly residents ages 60 and above, five (5) of which may be non-ambulatory and one (1) bedridden. The facility has an approved hospice waiver for three (3) residents. There are currently one (1) resident receiving hospice services.

Physical Plant/Structure The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) resident room, staff room, two (2) common bathrooms, living area, dining area, kitchen, attached garage, and an outside patio area. LPA inspected the facility with Administrator. LPA did not observe any bodies of water on the premises. All walkways around the facility were observed clean, clear, and free of obstructions, hazards, and debris.

Bedrooms LPA inspected all resident rooms and observed them to be clean and in good repair. LPA observed all rooms have the required items including a bed, dresser, chair, nightstand, and storage space for resident’s personal belongings. All beds were observed with the required linens including a mattress cover, fitted sheets, blankets, comforter, and pillows. LPA observed an ample supply of bed linens in good repair. All bedrooms were observed with adequate lighting.

Bathrooms LPA inspected all bathrooms and observed them to be within Title 22 regulations and were clean and operational. LPA observed all safety handrails are secured, and showers have nonskid mats and shower chairs. LPA observed an ample supply of bath towels stocked during the time of the visit. LPA observed an ample supply of hygiene products stored and inaccessible to residents. The water temperature measured 105.6-degrees and 105.7-degrees Fahrenheit.