Facility Evaluation Report

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Required 1 - Year Visit. The facility file was reviewed prior to the visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Co-Administrator Ma Niza Ambalada. LPA also spoke with Co-Administrator Rolando Corpuz, who arrived later during the visit.

LPA conducted a brief tour of the facility and observed the staff and residents in care. In accordance with the Department’s Infection Control program, LPA provided technical assistance and observed and evaluated the facility's implementation of their COVID-19 Mitigation Plan, to include disinfection, screening protocols, and the use of personal protective equipment. No deficiencies were cited on this date.

An exit interview was conducted with Ambalada and Corpuz, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 01/16) were provided.