Facility Evaluation Report

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Staff #1 and LPA met with Administrator (AD) Regie D. Banggalat and explained the purpose of the visit.

The facility is a single story residence with a fire clearance of six ambulatory of which one resident may be bedridden. The facility has a hospice waiver for six. The facility has a census of four residents in care; with two residents recuperating in the hospital. Currently two residents receive hospice services.

During the visit, LPA toured the kitchen and observed all appliances were in working order. Knives were stored in a locked tool box in a cabinet and additional knives and cleaning supplies were secured underneath the kitchen sink. Fresh fruit were observed on the table and the pantry and freezer had seven days of non-perishable supplies and the refrigerator had two days of perishables on-hand. LPA inspected smoke and carbon monoxide detectors and both alarms were in working order. The fire extinguishers were charged and serviced on March 17, 2026 and the facility conducted a quarterly fire drill on March 7, 2026. The facility temperature was 75 degrees and there were no odors detected. LPA observed the PUB 475 See Something, Say Something Poster, Personal Rights, Schedules, Liability Insurance and additional information in the hallway.

LPA walked through resident bedrooms and all rooms had the required furnishings and linens. LPA inspected two of two resident bathrooms and the hot water temperature ranged from 113.3 to 117.5 degrees Fahrenheit. All showers had grab bars and non-skid flooring and covered trash cans were observed.