Facility Evaluation Report

Licensing Program Analysts (LPAs) Alvaro Ramirez, Jr. and Brandon Lopez conducted an unannounced visit for the Required 1 Year Inspection. LPAs explained the purpose of today’s visit, and were greeted and granted entry by Caregiver Jesus Koh. Administrator (AD) Mansueto Conanan Jr was notified by staff via telephone.

For today’s visit, LPAs observed a total of one client in care and two staff members on duty.

LPAs observed the Administrator's Certificate for facility AD Mansueto Conanan Jr. which expired on March 11, 2024. AD showed proof that the AD certificate renewal has been received by the Administrator Certification Section (ACS).

LPAs toured the interior and exterior portions of the facility with caregiver Koh. The facility is a one-story home and is licensed for six ambulatory clients. There are a total of four bedrooms of which three are for clients and one for staff. LPAs 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. LPAs observed all windows were screened. Smoke and carbon monoxide detectors were tested and operational. There are a total of three restrooms of which two are for clients and one for staff. Restrooms were observed to be in good repair and toilets were operational. Water temperature tested between 105.8-106.7 degrees Fahrenheit.

Food menu was also posted and visible. LPAs observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Fire extinguisher was observed to be fully charged and mounted with service tag dated September 17, 2024. Fire extinguisher is located by the laundry room. Gas stove, microwave, washer, and dryer were all inspected and observed to be operable.