Facility Evaluation Report

On 01/27/2026, Licensing Program Analyst (LPA) Janette Romero arrived unannounced to conduct a required annual inspection. LPA was greeted and granted entry by Caregiver George Galapon who was informed of the purpose of the visit. Administrative Assistant (AA) Julianmarie Cruz arrived during the visit and was also informed of the purpose of the visit. The facility has a fire clearance to serve six (6) non-ambulatory elderly residents, of which one (1) may be bedridden. The facility also has an approved hospice waiver for six (6) and LPA was informed two (2) residents are currently receiving hospice services at the facility.

LPA toured the facility with AA Cruz. LPA observed the facility is made up on a one (1) story home with six (6) resident bedrooms, two (2) bathrooms, a living room, kitchen, dining room and attached garage. No bodies of water were observed on the premises. Indoor and outdoor passageways were free of obstruction. AA Cruz tested one (1) of the smoke alarms/carbon monoxide detectors and LPA heard it to be operational.

Resident bedrooms had the required bedding, furniture, and lighting. Bathrooms had grab bars and non-skid mats in the showers. LPA observed the facility had more than a two-day supply of perishable foods and seven-day supply of non-perishable foods. Knives are secured in a locked kitchen drawer. Medications are secured in a locked medication closet near the front entrance. LPA observed fire alarm pull stations and charged fire extinguishers mounted throughout the facility. Cleaning solutions are secured in the locked garage. The living room fireplace is adequately screened making it inaccessible to residents in care. The facility's certificate of liability insurance expires on 08/30/2026. Staff present have a criminal record clearance and are associated with the facility. Resident files reviewed had updated physician's reports and all Departmental required records. LPA reviewed the facility's Emergency Disaster Preparedness 2026 log noting their last drill was conducted on 01/13/2026. Long Term Care Ombudsman contactinformation, complaint procedures, facility sketch, and emergency phone numbers are visibly posted near the front entrance. During today's visit, LPA did not observe any issues or concerns. An exit interview was conducted over the phone Administrator Tony Weaver and a copy of this report was reviewed and provided to AA Cruz.