Facility Evaluation Report

Licensing Program Analyst (LPA) Correia conducted the required one-year inspection. Upon arrival, LPA was greeted by Caregiver Mabenilda Rumingan, identified herself, and explained the purpose of the visit. The facility is licensed to serve six (6) residents aged 60 and above, all of whom may be non-ambulatory and/or receiving hospice services, and up to two (2) residents who may be bedridden. Licensee Hideen Nucom arrived shortly thereafter to join the inspection.

The facility’s census at the time of inspection was five (5) residents in care: four (4) non-ambulatory, one (1) receiving hospice services, and one (1) bedridden. All five residents were present during the visit.

A review of resident files confirmed that all required documents including the current Physician’s Report, Resident Appraisal, Needs & Services Plan, Identification and Emergency Information, and Admission Agreement, were complete and up to date. Staff files were reviewed and found to include Criminal Record Clearance, required training, Health/TB Screening Report, First Aid and CPR certification, and qualifications. All records were current and complete. The Administrator’s certification is valid until 2027. The facility’s last disaster drill was conducted in December of 2025. The Licensee owns the property and maintains current liability insurance.