Facility Evaluation Report

Unannounced Annual visit made out to this facility on 09/24/2025 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility house manager, Mariafe Serrato, at this time. A brief interview was conducted with the facility house manager at this time.

This LPA requested that the facility staff go ahead and contact the facility designated Administrator to inform her that CCL was present at this time.

The facility designated Administrator, Christine Quiruz, arrived shortly thereafter to this facility while this LPA was conducting this annual visit. A brief interview was conducted with the facility designated Administrator at this time. Administrator certificate #7006759735 for Christine Quiruz was set to expire on 11/06/2026.

It was learned that this facility was vendorized to be able to accept and retain up to (4) Level 4I, Level 6, residents at any given time.

This facility is licensed to serve up to (6) Ambulatory only residents at any given time.

Current census was 6 residents at this time.

A tour of the facility kitchen area was conducted. Drawers and cabinets were opened and the items enclosed were reviewed at this time. Drawers housing knives and sharps were observed to be locked and made inaccessible to the residents at this time.

Cleaning agents, bleach, and other supplies were observed to be locked and made inaccessible to the residents at this time.

A review of the facility food supply was conducted. A review of the facility's 2-day perishable foods and 7-day nonperishable foods was conducted to make sure that there were sufficient quantities on hand at all times.

Medication cabinet, located in the facility hallway closet, was reviewed. Policies and procedures involving