Facility Evaluation Report

On September 4, 2025, at 1:00 PM, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Kim was greeted and granted entry by Caregiver (CG) Jefren Maralit. LPA Kim spoke with Licensee (LI) Norie Whittaker over the phone and explained the purpose of the visit. LI Whittaker stated that CG Maralit could sign on behalf of the report.

The facility is licensed to operate for six (6) nonambulatory residents of which six (6) may be bedridden and have a hospice waiver for six (6) residents. The facility is a single-story structure located in a residential neighborhood. It consists of the following: five (5) resident bedrooms, five (5) bathrooms, living area, dining area, kitchen, outdoor patio area, attached one car garage, and an attached two car garage.

LPA Kim toured inside and outside of the physical plant with CG Maralit. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. The Resident’s rooms were inspected: Resident Room 1, Resident Room 2, Resident Room 3, Resident Room 4, and Resident Room 5. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured at 109.4 degrees F to 110.1 degrees F. A comfortable temperature of 75 degrees F was maintained in the facility.

Evaluation Report Continues on LIC 809-C .