Facility Evaluation Report

Licensing Program Analyst (LPA) Claudia Gutierrez made an announced visit to the facility for purpose of conducting a pre-licensing inspection. LPA met with designated Administrator (AD) Ma Teresa Abuda, Licensee Gary Tadeo and Peppi Pala, Assistant Administrator (AAD) Heidi Tadeo and Consultant Kian Pascual. An application to operate an Residential Care Facility for the elderly (RCFE) for (6) capacity, (0) ambulatory, (0) non-ambulatory, and (6) bedridden residents was received by CCL on 9/20/2023.

The facility is a one-story house with six resident bedrooms, one staff bedroom, two full size bathrooms, six half bathrooms, a living room, a kitchen, a dining room, an activity room/staff office, a laundry room, and attached two car garage. LPA observed the See Something, Say Something poster (PUB 475) in the facility mounted on the wall in the entranceway. There is a backyard with an exit gate each on one side of the house. There is a shaded seating area and LPA did not observe any obstacles or hazards in the backyard.

All resident bedrooms had the required furnishings. LPA observed all beds had linens and blankets.

All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to residents and will be stored and locked in the laundry room.