Facility Evaluation Report

On July 2, 2026, Licensing Program Analysts (LPAs) Brandon Lopez and Tran Nguyen made an unannounced visit to the facility to conduct the required annual inspection. LPAs were greeted and granted entry into the facility by staff after explaining the purpose for the visit. Administrator Mary Jean Catacutan was notified via telephone but was unable to assist with today's inspection. LPAs observed that Mary Jean Catacutan has a valid Administrator certificate which expires on August 2, 2027. Designee Arjan Banez later arrived to assist with the inspection.

The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents and has a hospice waiver for six. The facility consist of six private resident bedrooms, six bathrooms, a staff bedroom, a living room, a dining room, a kitchen, and an attached two car garage. LPAs, accompanied by the Designee, conducted a tour of the interior portions of the facility. On today's visit, there were five residents in care and two care giving staff present. LPAs observed the See Something, Say Something poster (PUB 475) mounted on the wall by the entryway of the facility. LPAs inspected the six private resident bedrooms and observed them to be clear of any hazards. LPAs observed resident bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPAs observed resident beds to have clean linens and blankets. LPAs observed additional linens to be stored in a hallway closet. LPAs inspected the six bathrooms and observed them to be clean. Resident bathrooms were equipped with grab bars and non-skid floor mats. Faucets and toilets were operational. Hot water temperature measured between 111 and 116.7 degrees Fahrenheit. LPAs observed the staff bedroom to be free of any hazards.

LPAs observed the facility has a two day perishable and a seven day non-perishable food supply in the kitchen. LPA observed kitchen knives and sharps to be stored in a locked kitchen cabinet.