Facility Evaluation Report

Licensing Program Analyst (LPA) Victoria Brown arrived unannounced to conduct a Required - 1 Year visit on 2/3/25 at 9:30am. Administrator certificate expires 4/23/26 for Alexander Salvador . License fees are current.

LPA met with Merly Aguda and stated the purpose of todays visit. The facility is licensed for a capacity of 12 residents of which 4 maybe non-ambulatory. There are 0 non-ambulatory residents at this time. Residents approved for rooms 6 & 7.

LPA toured and inspected the physical plant inside and outside to ensure there are no safety hazards to residents. There are 9 bedrooms of which 7 are for residents and 3 bathrooms. The temperature inside the facility was observed to be at 70*F which is within the required range of 68-85*F. The most recent emergency drill was conducted on 11/9/24. The hot water temperature was measured at 119.5*F which is within the required range of 105-120*F. LPA observed fire extinguisher(s), smoke and carbon monoxide detectors, and central heating and air in the facility. LPA observed the centrally stored medications area to be locked and inaccessible to residents.

LPA observed 1 residents and 1 staff files during this visit.