Facility Evaluation Report

Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced annual required visit. Upon entry, LPA was greeted by Myrna Lomboy, Caregiver/House Manager, and informed them of the purpose of the visit. At the time of the visit, there were one (1) staff member and zero (0) residents present. Lomboy stated that the facility has not had any clients since September 2025. Claire Itchon, Administrator, joined later during the inspection.

Facility Overview: The facility is a one-story home with three (3) bedrooms and two (2) bathrooms, including an attached garage. There are no pools or known firearms on the premises.

Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance.

Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. The outdoor area was free of hazards. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked and inaccessible to residents. Both the smoke detector and carbon monoxide detector were operational.

Health-Related Services/Incidental Medical Services: The facility has medication storage cabinet with lock in the kitchen. Continued on LIC809-C....