Facility Evaluation Report

On 8/7/2025, Licensing Program Analyst, Arvin Villanueva (LPA) arrived unannounced at this facility to conduct their annual inspection visit. LPA met with one of the staff on duty and stated the purpose of the visit. The Administrator, Elaine Tolentino, was notified and arrived shortly after.

Overview : Facility is a one-story home located in a residential neighborhood. Facility is licensed to serve up to 6 residents, ages 60 and above, all may be non-ambulatory. Bedroom #2 was approved for bedridden use. Facility has 5 resident bedrooms and 3 resident bathrooms, and one staff room.

Initial Observation: Upon arrival LPA observed 2 staff on duty. Two residents were in the living room. The other residents were in their bedrooms. LPA observed required posters and facility license at the entrance. Room temperature was at 72 degrees Fahrenheit upon arrival.

Areas inspected include, but not limited to, the kitchen, resident bedrooms, resident bathrooms, living and dining room and outdoor areas. LPA observed the inside of the facility to be clean and in good repair at this time. LPA inspected 5 resident bedrooms and were observed to be equipped with the required furniture and sufficient lighting throughout. Bedroom #2 is currently vacant. Bedroom #4 is a shared bedroom with their own bathroom. LPA measured the hot water temperature in the 1 of 3 bathrooms to be at 112 degrees Fahrenheit. Grab bars and non-skid flooring were observed. Resident bathrooms were observed to be in clean and good repair at this time.