Facility Evaluation Report

Licensing Program Analyst (LPA) Ramon Serrano arrived to conduct an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was allowed entry and discussed the purpose of the visit with Administrator Rodolfo Tabladillo. Administrator immediately informed LPA that the facility had a major plumbing issue approximately 1-2 weeks ago resulting in the residents being relocated to another facility.

LPA interviewed Administrator, Licensee Edna Tabladillo and the Licensee of the facility that the residents were transferred to. Licensee Edna Tabladillo stated that the facility has been dealing with plumbing issues for the last 2 months with the residents in care. Licensee further stated that approximately 2 weeks ago they realized that it was not a "localized thing" and it was effecting every bathroom in the facility which meant every bathroom needed to be repaired. Licensee stated that she called LPA Serrano and also spoke with the duty officer and advised them that the residents were being transferred to another CCL facility on 4/5/26.

No deficiencies were cited or observed on this date.

An exit interview was conducted with Rodolfo Tabladillo who was provided with a copy of this report and Appeal Rights. Their signature confirms receipt of these documents.