Facility Evaluation Report

On 11/06/25 Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to conduct a 1 year required visit. LPA was greeted and granted entry by caregiver Marlene Mangosing where LPA explained the purpose of today's visit. At the time of the visit there was (2) staff and (1) client present. The facility is licensed to serve six (6) non ambulatory clients. Below are the observations made during today's visit:

The home was observed to be clean and clutter free. The facility has the required postings such as CCL complaint poster, facility sketch, personal rights and license. The staff present were observed to have fingerprint clearance and to be associated to the facility. The facility has a fully charged fire extinguisher that was last serviced on 09/25/25. There are no guns, ammunition or bodies of water on the premises. The chemicals, sharps and medications were observed to be locked and inaccessible to clients in care. The hot water temperature was tested and found to be within regulatory limits measuring at 113.1 degrees Fahrenheit. The smoke and carbon monoxide detectors were tested and found to be operable. The facility has not conducted an emergency disaster drill since 10/28/24 deficiency cited.

The food supply was observed to meet with requirements of a 2 day supply of perishable and a 7 day supply of non perishable food items. The facility was observed to have extra linen, and personal hygiene supplies. A records review was conducted: the facility annual fees have been paid and the governing body was observed to be in good standing. The client files were observed to have the required paperwork, medical assessments and Individual Program Plan (IPP). Personal and Incidental funds were verified. The staff were observed to have the required training such as valid CPR. The administrator Flor de Lys Barawid was observed to possess valid administrator's certification which expires on 04/01/27.