Facility Evaluation Report

Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced annual required visit on 5/30/2023 at 02:15 p.m. LPA was granted entry and met with staff, Betty Mangiliman who was informed of the purpose of the visit. LPA spoke with Administrator Rolando Corpuz over the phone. At the time of the visit there was (3) staff and (5) residents present.

The facility is a one story home with (6) bedrooms and (3) bathrooms with attached garage. No pools or firearms are being kept at the facility. The residents served are elderly ages 60 and above. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted a staff and client interviews. LPA observed and cited the following:

The facility staff and administrator along with LPA observation, found that Resident # (R1) was being held in their bed against their will.

Deficiencies and observations and interviews were documented and will be discussed with the administrator during an informal office visit. The administrator agreed to meet the LPA and their manager on 5/31/2023.

An exit interview was conducted where this report along with deficiency page and appeal rights were reviewed and provided to the staff, Betty Mangilisman.