Facility Evaluation Report

At 8:00am on 03/12/2026, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct the annual facility inspection. LPA met with the facility Administer, Jason Caluya announced who he is and the reason for the visit.

At 9:00am Administrator and LPA conducted a full physical inspection of the facility. This is a 3 bedroom, with dual resident occupancy, 2 resident bathrooms, bathroom 2 is an on suite resident bathroom to be shared by two residents. There is a living room, dining room and kitchen. There is seating in front yard and in back yard with shade from umbrellas and awning for residents’ activities and visitations. LPA noted at least two working fire extinguishers, primed and in the green. LPA tested smoke detectors and carbon monoxide detector to be functioning as intended and located in each room of the facility. LPA noted that the facility is comfortable 72*(f). LPA's tested water and was in compliance with regulations standards of 105*(f) -120*(f). LPA noted that the resident rooms had proper bedding and linin, as well as chairs and drawers for storage. LPA noted that the bathrooms were fitted with liquid soap and paper towels and non-slip mats on shower floors. LPA noted that there is at least 2 days of perishable foods and at least 7 days of nonperishable foods on hand and at least 72 hours of emergency water in the garage. LPA noted that the medications are stored and locked in the closet adjacent to the dining room competed with a 1st Aide Kit per CCLD regulations. LPA noted that the facility is clean and free of obstacles and all exits are clean free of obstacles and debit. Administrator and LPA's conducted documentation audit of all facility staff and resident. Additionally, a cursory medication audit. LPA also reviewed emergency disaster plan, infection control plan, liability insurance, and staff training records. Administrator and LPA conducted a full review of the care tools modules. LPA noted no violations or citations. Exit interview, report read, and report provided.