Facility Evaluation Report

On 4/22/2025, Licensing Program Analyst (LPA) Arvin Villanueva arrived unannounced at this facility to conduct their annual inspection visit. LPA initially met with staff on duty and explained the purpose of this visit. Staff then notified the administrator, Ma. Magnolia Tolon, and both the licensee and administrator arrived shortly after. Present today visit were 5 residents in care with 2 staff on duty.

This facility has an approved hospice waiver for (3) residents at any given time.

This facility also has, on file, a program to accept and retain residents diagnosed with dementia at this time.

Administrator certificate was observed to be present and in compliance at this time.

A tour of this facility was conducted. Facility is a one-story home located in a residential neighborhood.

Kitchen area was toured. Cabinets and drawers were inspected. Food preparation stations, dishwashing station, and other areas intended for meal preps were also inspected.

Food supply was reviewed for adequate 2-day perishable and 7-day nonperishable quantities at this time.

A tour of the dining area, living area, and all other areas intended for resident use was conducted.

Medication cabinet, located in the hallway was inspected. The medication cabinet was observed to be locked and made inaccessible to the residents at this time.

A tour of 5 of 6 resident bedrooms and 2 of 3 restrooms was conducted. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time.

Grab bars and non skid mats were observed to be present and in good repair at this time.

Hot water temperature was taken in 1 of 2 bathroom and measured at 117 degrees Fahrenheit. Room temperature during this visit was measured at 74 degrees Fahrenheit.