Facility Evaluation Report

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation using the CARE Inspection Tool. LPA was greeted and granted entry by Caregiver Krizza Anne Natividad after stating the reason for the visit. Administrator (Admin) Josephien Teehankee arrived on premise shortly after. The administrator's certificate for Admin Josephine expires on November 19, 2026 and January 27, 2027 for Rafael Teehankee.

The following was observed during the inspection:

This is a single story property located in a residential neighborhood. Facility operates within the conditions and limitations specified on the license. LPA observed six residents in care with no residents receiving hospice service. LPA observed two caregivers on duty and verified fingerprint clearance and association statuses. All common areas were inspected including the attached two car garage. LPA observed six resident bedrooms, five resident bathrooms, and one private staff bedroom occupied by four staff. LPA observed the residents' bedrooms were appropriately furnished, beds and bedding supplies were in good condition, adequate lighting was provided, and sufficient storage space for each residents' personal belongings were observed. All bathrooms were found to be in compliance, clean, and operational. The hot water temperature measured at 105.9, 113.3, 108.1, 108.5, and 111.7 degrees Fahrenheit in the resident bathrooms. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed sufficient two-day supply of perishables and seven-day supply of non-perishable food. LPA toured the exterior portion of the facility. LPA observed the outdoor passageway is free of obstruction. The exit gates were operational and there were sufficient seating and shading. The fire extinguisher was mounted, charged, and serviced on September 4, 2025. The auditory devices and smoke/carbon monoxide detectors were tested and operational.