Facility Evaluation Report

Licensing Program Analysts (LPAs) Edward Tapia, Patricia Velazquez and Jessica Cho conducted an announced Pre-Licensing visit with Component III Orientation at The Country Gardens Terrace, Inc. LPAs Tapia, Velazquez and Cho conducted the visit with Administrator Jean Catacutan and Licensee Jacqueline Dizon . An initial application to operate a Residential Care Facility for the Elderly (RCFE) was submitted to the Central Applications Bureau (CAB) on 02/28/2022 for a capacity of 6 non-ambulatory residents.

LPAs Tapia, Velazquez and Cho along with Administrator Catacutan and Licensee Dizon observed the following:

Facility is a one story building with 6 resident bedrooms and 1 staff room, 6 bathrooms, dining room, living room which doubles as an activity room, kitchen and 2 car garage. The facility has a dark brown stucco exterior with a latched fence and optional seating in the front yard. There is a courtyard in the backyard with a fountain outside with shading and seating for residents.

All bedrooms accommodate non-ambulatory residents. Emergency lighting was present in the facility. The resident bedrooms accommodate the residents' required furnishings.