Facility Evaluation Report

On December 30, 2025, Licensing Program Analyst (LPA) Eboni Bentley conducted an unannounced required 1-Year annual visit. LPA was greeted and granted entry after stating the purpose of the visit to Licensee/Administrator (LI) Consolacion Lumauig.

The facility is licensed to operate for six (6) non-ambulatory residents and has a hospice waiver for four (4) residents. The facility is a single-story building located in a residential neighborhood. It consists of the following: six (6) resident bedrooms, two (2) resident bathrooms, one (1) staff bedroom, one (1) staff bathroom, two living room areas, dining area, kitchen, an outdoor covered seating area, and detached two car garage.

LPA conducted a tour inside and outside of the physical plant with LI and requested copies of facility documents including: Resident Roster, Staff Roster, Staff Schedule, Resident Emergency Contact Forms, Physician’s Reports, Hospice/Home Health records, and Service Plans for residents.

During the visit, LPA Bentley observed a comfortable temperature of 75 degrees F was maintained in the facility. The smoke detectors and carbon monoxide detectors were operable. The facility has one (1) fire extinguisher that was charged, mounted, and purchased on December 30, 2025. First aid kit is maintained and contains all the necessary elements. 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.