Facility Evaluation Report

On today's date Licensing Program Analyst (LPA) William Vanegas made an unannounced visit for the purposes of conducting an annual inspection. Upon arrival LPA Vanegas was greeted and granted entry to the facility by facility staff. LPA Vanegas explained the purpose of the visit, and Administrator (AD) Michelle Labao was notified via telephone and arrived shortly after in order to assist with the annual inspection. Accompanied by AD LPA conducted a tour of the facility and observed the following. AD Michelle Labao has a valid administrators certificate valid from February 01, 2025 through January 31, 2027.

The facility is a one storied home with five bedrooms, one of which is a staff room and four of which are resident rooms, three bathrooms, and an attached two car garage. LPA observed kitchen are to be clean and free of any mildew and debris. LPA observed there to be a refrigerator, microwave, gas stove, dishwasher, washer, and dryer. All tested operational. LPA observed there to be a two day supply of perishable food on hand and a seven day supply of non-perishable food on hand.

LPA observed all resident rooms to be clean and free of debris. LPA observed all resident rooms to have all required furnishings such as a chair, a bed, clean linens; meaning no strains or tares, a reading lamp, and enough storage space to store personal belongings.

LPA observed resident restrooms to be clean and free of any debris and mildew. LPA observed water faucets and toilets to be operational. Restrooms were observed to have all required furnishings such as grab bars, slip resistant flooring, and a shower chair. Hot water temperature tested between 113.2 and 117.5 degrees Fahrenheit. CONTINUED ON LIC809-C.