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 was greeted and granted entry to the facility by facility staff. LPA explained the purpose of the visit, and Administrator (AD) Leilan Dagdag was notified of LPA Vanegas arrival, and arrived shortly after to assist LPA with the annual inspection. LPA began a tour of the facility and observed the following. AD has a valid administrator certificate valid from November 04, 2024 through November 03, 2026.

The facility is a one storied home equipped with five bedrooms all of which are utilized by clients in care, two bathrooms, and an attached one car garage. LPA observed kitchen area to be clean and free of any mildew and debris. LPA observed kitchen area to consist of a gas stove, refrigerator, microwave, and a dishwasher. All appeared to be in good repair, and tested operational. LPA observed the facility to have a two day supply of perishable food, a seven day supply of non-perishable food and a sufficient amount of emergency water on hand.

LPA observed all client bedrooms to be large enough to walk about freely, and for the bedrooms to be large enough to accommodate all required furnishings including the following: A chest of drawers, a bed, clean linens in good repair; meaning no strains or tears, a reading lamp, a chair, and enough storage space to store personal belongings. LPA observed bedrooms to be free of any obstructions blocking entry ways, and free of any hazards. LPA observed all resident restrooms to have all required furnishings such as a shower chair, slip resistant floor matts, and grab bars. LPA observed water faucets, and toilets to be in good repair and tested operational. LPA observed hot water to test between 109.8 and 111.2 degrees Fahrenheit.