Facility Evaluation Report

At 7:30am on 02/23/2026, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct the annual inspection. LPA met with Acting Administrator, ZenIda Ingan (S1), announced who he was and the reason for the visit.

At 8:15am S1 and LPA conducted a facility tour. This is a 4 bedroom 2 bathroom, kitchen, living room and backyard outdoor area with shading for residents in care. The bedroom near the front door is a staff bedroom all other bedrooms are resident double occupancy, LPA observed 2 days of perishable and 7 days of nonperishable foods. LPA observed all fire extinguishers to be in compliance with regulations. LPA observed all fire detractors and carbon monoxide detector to be in working order. LPA noted that all rooms have proper lighting, linin, and storage meeting CCLD regulations. S1 and LPA conducted a sample medication audit and found centrally stored medication log to be accurate. LPA noted that medications are locked in a medication cabinet in the dining room. LPA noted that resident files secured in a cabinet in the living room and staff are secured at a central office as licences has 4 other facilities. LPA did not observe and hazards or obvious dangers to residents in care. LPA observed a adequate supply of PPE at the facility and noted that facility has a universal mass supply for all five facilities under this Licensee. LPA observed the facility to be clean and organized and every appliance to be in good working order.

S1 and LPA conducted a full review of the annual control tools kit, including all modules. LPA noted that no violations or citations from the annual care tools kit. LPA noted no violations or citations as a result the full annual facility inspection.

Exit interview, report read and report provided.