Facility Evaluation Report

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry by Staff Edwin Mercado. LPA met with Staff Melanie Inoncillo and explained the purpose of the inspection. Administrator (AD) Aileen Tescon arrived at approximately 10:00 am. to assist with the inspection.

During the inspection, LPA and Staff Inoncillo conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following:

This is a one-story home with six resident bedrooms, one staff bedroom, three bathrooms, and attached two-car garage. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets. LPA observed all windows were screened. The backyard has a shaded sitting area and a storage shed used only for storage. LPA observed residents watching television in the living room and resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested at 111.7 degrees Fahrenheit. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguishers mounted on the wall in the hallway and in the kitchen were observed to be fully charged with service tags dated March 4, 2025. Gas stove, microwave, washer, and dryer were all inspected and observed to be operable. Medication cabinet was observed to be locked; however, medication requiring refrigeration was also observed to be accessible to in a common facility fridge; a Deficiency was cited on today's date. LPA reviewed four resident files and two staff files. LPA interviewed three residents and two staff.