Facility Evaluation Report

On 10/23/2025, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to conduct aa Annual visit. LPA was greeted by Licensees, Marissa Legarda and Rudy Golalao explained the purpose of the visit. There was one more staff member present, Muhammed Shamin.

This facility will be licensed to hold 4 residents, of which 2 may be non-ambulatory in bedrooms #1 and #2. This facility is also awaiting vendorization from Valley Mountain Regional Center and will accept and hold Level 6 residents.

Current census was 0. A brief interview with Licensees Legarda and Golalao.

A tour of the facility was conducted. Smoke detectors and carbon monoxide detectors were tested and are in good repair. The facility designated administrator (FDA), Marisa Legarda has an active administrator certificate, #7005447735 expires on 07/17/2027.

A tour of the kitchen area was toured. A review of food supply was conducted to ensure a 2 day perishable and 7 day non-perishable food supply was available. This facility will have a locked medication cabinet located in the kitchen. A first aid kit was observed and had all the required components. Fire extinguisher was located in kitchen and was serviced on 04/29/2025 by the local fire company, Coast Fire Equipment Co.

A tour of the family room was conducted. Furniture and furnishings were observed to be in good repair.

A tour of the backyard was conducted with no hazards present. Perimeter gate was observed to be in good repair.

A tour of garage was conducted. A washer and dryer was identified. Detergent, toxins and other cleaning supplies were observed to be locked and made inaccessible.

A tour of the resident bedrooms were conducted. Furniture and furnishing were observed to meet the residents needs.