Facility Evaluation Report

Licensing Program Analyst (LPA) Cynthia Chan conducted the required annual inspection on 7/22/25. LPA arrived unannounced and met with the Executive Director, Suzie Magpayo. The facility is licensed to serve 280 non-ambulatory residents, ages 60 and over. There is a hospice waiver approved for 8 residents.

LPA inspected the facility using the Compliance and Regulatory Enforcement (CARE) tools.

The facility is a 4-story building with resident rooms on each floor. The first floor consists of the main lobby, dining room, kitchen, lounge, activity room, conference room, medication room, and resident rooms. The 2nd, 3rd, and 4th floors consist mainly of resident rooms, activity rooms, and laundry rooms. The facility also has a Wellness Center. LPA randomly selected 12 rooms (#106, #103, #119, #201, #231, #243, #301, #311, #317, #345, #402, and #423 to inspect. The bathrooms have non-skid mats and the hot water temperature was measured within range of 105-120 degrees F. Smoke detectors and carbon monoxide detectors are operable. Facility has sufficient space to accommodate indoor and outdoor activities. There are daily planned activities. Sufficient food supplies of 2-day perishable and a week of non-perishable items as well as water supply were observed. Information for appropriate reporting agencies are posted at the facility.

The facility does not accept or retain residents with dementia. Residents utilizing oxygen tanks have signs posted at the front door. Facility is continuing to follow their infection control plan and using appropriate hand hygiene. Gloves are worn by staff while assisting residents with their activities of daily living. The liability insurance is still current for the coverage of at least $1 million (per occurrence) and $3 million (total annual aggregate). Per the administrator, there is sufficient staffing for each shift. LPA reviewed 6 personnel files. The Administrator's certificate expires on 8/10/25. The staff files have the required documents and have fingerprint clearance. Staff have current CPR and First Aid certificates.