Facility Evaluation Report

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Staff #2 (S2). LPA met with Administrators Emelyn Asis and Rose Ann Asis Ang.

The facility is a six bedroom, two bathroom single story home with an approved fire clearance of six non-ambulatory and a hospice waiver for four residents. The facility currently has a census of six residents and one resident receives hospice services. The facility accepts the Assisted Living Waiver.

During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in two of two resident bathrooms. The hot water temperature measured between 10 5.0 to 105.2 degrees Fahrenheit and all smoke detectors were operational. The fire extinguisher is charged and was serviced on July 29, 2025. The facility’s last fire drill was conducted on June 26, 2026.

LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. Toxins and chemicals were secured underneath the kitchen sink. Knives were not secured and staff moved the knives underneath the sink. A deficiency will be given. LPA observed medication storage and reviewed the centrally stored medications. Per review medications are being given as prescribed. Medications were observed in the live-in staff bedroom and were secured. LPA observed the First Aid Kit had all of the required elements and a First Aid Manual.