Facility Evaluation Report

Licensing Program Analyst (LPA) R. Campbell conducted an unannounced Annual 1-Year Required visit on this date. LPA met and toured with Administrator, Mona Lisa Silapan. The administrator currently holds a certificate (#6025978740) that expires on 03/23/2023..

LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 6 total bedrooms for residents of which 5 bedrooms are occupied by the residents and there is 1 staff bedroom. There are no bodies of water observed. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. A comfortable temperature is maintained at 75 degrees Fahrenheit. . The hot water temperature in the residents’ shared bathroom was measured at 115 degrees Fahrenheit. Night lights are maintained in hallways and passages to nonprivate bathrooms. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of 7-day supply of nonperishable and 2-day of perishable food. All Fire Exits are free of obstacles.

Smoke and Carbon Monoxide alarms were tested. Fire Extinguisher was last checked at 02/03/2022.

No deficiencies were cited during this inspection.

Exit interview conducted. Appeal Rights and a copy of this report provided.