Facility Evaluation Report

This is an amended version of the original report delivered on 2/23/22.

Licensing Program Analyst (LPA) Iby Strong, conducted an announced Pre-Licensing inspection. LPA met with Simon Quezon, Edith Tesoro, Aris Miranda and discussed the purpose of the visit.

LPA conducted a tour of the facility, both inside and outside. There are no pools on site. The smoke and carbon monoxide alarms were present. Toilets intended for client use were operating as intend ed, and bathing facilities were observed to be clean and kempt. The windows, blinds and paint throughout the facility, was observed in good condition. Each room intended for client use had the appropriate furniture, bedding and appropriate lighting. Quizon stated there are no firearms stored on the premises.

Hot water temperature was m easured in the facility at 105.0 degrees F. The ambient temperature inside the facility was measured with at 70 deg rees F. The facility was observed to be clean and kempt with no strong malodors. The refrigerators and freezers were observed to be clean and operational, with an ample amount of food to meet client needs. Cleaning solutions were also properly secured in the garage.

The Component III portion of the application process was completed with Quizon on today's date as well.

Pre-Licensing is complete and this facility has no deficiencies. An exit interview was conducted. The Applicant will be provided a copy of their Appeal/Licensee rights (LIC9058 01/16). An electronic read receipt will serve as confirmation of receipt of documents.