Facility Evaluation Report

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit for the Required 1 Year Inspection. LPA explained the purpose of today’s visit, and was greeted and granted entry by Caregiver Aeron Padolina. Facility representative Dianna Manalo arrived shortly after.

For today’s visit, LPA observed a total of five residents in care and two staff members on duty.

LPA observed the Administrator's Certificate for facility AD Dianna Manalo which expires on November, 15, 2027.

LPA Ramirez toured the interior and exterior portions of the facility with facility representative. The facility is a single level structure and is licensed for six non-ambulatory residents, of which six may be on hospice and one bedridden. There are a total of seven bedrooms, of which six are private resident bedrooms, and one private bedroom for staff. LPA Ramirez toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Two residents are currently using half-rails for postural support. Appropriate physician orders on file for the two residents. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. There are a total of two restrooms. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature tested between 109.9-110.1 degrees Fahrenheit.