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 Maria Pavilando after introducing self and stating the reason for the visit. Administrator (Admin) Maureen Salonga arrived on site to assist with the inspection. Admin has a valid certificate expiring on October 4, 2026 and November 25, 2026 for Anthony Coloma.

The following was observed during the inspection:

This is a single story property located in a residential neighborhood comprised of five resident bedrooms and three resident bathrooms. Facility is operating within the conditions and limitations specified on the license as LPA observed six residents in care with no residents under hospice. LPA observed two staff on duty. LPA toured the physical plant with Lead Staff Marianne Salonga. The facility is clean, sanitary, and in good repair. All common areas were inspected including the attached two car garage. LPA inspected all resident bedrooms. The resident 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 be in compliance, clean, and operational with the exception of one bathroom adjacent to Bedroom #4. The baseboard next to the walk-in shower shows minor water damage evidenced by the swelling. There were no signs of mold. Slip resistant mats were available. The hot water temperature in the bathrooms measured at 114.0, 113.1, and 116.2 degrees Fahrenheit. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed ample two-day supply of perishables and seven-day supply of non-perishable food.