Facility Evaluation Report

On 7/14/2025, Licensing Program Analyst, Arvin Villanueva (LPA) arrived unannounced at this facility to conduct the annual inspection visit. LPA met with Licensee/Administrator Gerwin Sicat (S1), and stated the purpose of the visit.

Overview : Facility is a one-story home located in a residential neighborhood. Facility is licensed to serve up to 6 elderly residents who may be ambulatory and/or non-ambulatory. Facility has an approved hospice waiver for up to 4 residents. Currently, there are no residents in care receiving hospice care. Facility does not handle resident cash resources.

Initial Observation: Upon arrival LPA observed 2 staff on duty (S1 and S2) with 4 resident in care (R1, R2, R3, R4). Per interview with S2, residents are in their bedroom taking a nap. LPA observed required posters and facility license at the entrance. Room temperature was at 80 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 inspected 4 of 6 resident bedrooms and were observed to be equipped with the required furniture and sufficient lighting throughout. 2 of 6 bedrooms are currently unoccupied. LPA measured the hot water temperature in the 1 of 2 bathrooms to be at 107 degrees Fahrenheit. In one of the bathroom, LPA observed the under the sink cabinet to be in disrepair as evidenced of the lock not functioning properly. Advisory was provided to licensee to make necessary repair.