Facility Evaluation Report

On 05/21/2026, Licensing Program Analyst (LPA) Pang Lee arrived at the facility to conduct an unannounced annual inspection. LPA Lee met with care staff, Nora Pambago, and explained the purpose of the visit. Care staff Pambago then contacted Administrator Ma Magnolia M. Tolon to inform her that Community Care Licensing Division (CCLD) staff were present at the facility. Approximately 30 minutes later, both Licensee Aida Gatchalian and Administrator Tolon arrived and assisted with the visit. Administrator Tolon holds Administrator Certificate #7019084740, which expires on 05/05/2027. The facility census was six (6) residents, with two (2) staff present during the visit.

This facility is a single story building licensed to serve six (6) non-ambulatory residents with one bedridden resident and hospice waiver approved for three (3) residents. LPA Lee inspected the physical plant including but not limited to the common area, kitchen, dining area, resident bedrooms, resident bathrooms, laundry room, garage, and outside courtyards of the facility to ensure compliance with Title 22 regulations. LPA Lee observed the facility to be free of odor, clean and in good repair. LPA Lee observed bedrooms to be properly furnished with appropriate bedding and lighting. The linen closet was inspected and observed to contain a sufficient supply of linens for the six residents in care. LPA Lee toured the kitchen and observed sufficient seven-day non-perishable and two-day perishable food supplies. Hot water temperature was measured at 112.5 degrees Fahrenheit in resident bathroom sink, which is within the required regulation of 105 to 120 degrees Fahrenheit. The smoke and carbon monoxide detectors are in compliance with fire safety. The fire extinguisher is located in the kitchen and was last serviced on 02/27/2026. The last fire drill was conducted on 04/10/2026. LPA Lee observed the facility has a has a public telephone in the kitchen and the facility has the required posters posted.