Facility Evaluation Report

On September 4, 2025, Licensing Program Analyst (LPA), Murial Han conducted an unannounced annual inspection. LPA was greeted by the administrator, Kelly Ancheta and lead staff, Arvin Mariano. LPA explained the purpose of today's visit.

This is a two story facility. The lower level consists of resident bedrooms (2 shared and 2 private rooms), 1 staff room, 2 full- bathrooms, 1 half bathroom, kitchen, living room, dinning room and common areas. The upper lever consists of 2 staff rooms and one of the rooms has a full-bathroom, a separate bathroom and a room that has a kitchen and office space. The facility observed to clean, tidy and in good repair. Bedrooms and bathrooms were equipped with the required furniture for residents to use. Facility temperature is comfortable. Hot water temperatures in the kitchen and bathroom was measured at 105- 115 degrees F. Food supply is adequate for 2-day perishable and 7-day non-perishable.

Central stored medication, toxins and sharps objects were observed to be locked and inaccessible to residents.

Facility is equipped with smoke detectors and carbon monoxide detectors. Fire extinguishers were inspected.

LPA reviewed P & I records for 4 residents to be adequate.