Facility Evaluation Report

On May 20, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual inspection. LPA met with Administrator, Francis Yamat and House Manager, Silvestre Bongolan and explained the purpose of the visit.

LPA toured the facility inside and outside including all of resident rooms, staff room, staff office, common areas & kitchen. The indoor and outdoor passageway was free of obstruction. No accessible bodies of water of fire safety hazards observed. This is a single story facility. There are currently no clients at the facility. There are five client rooms; four of which are single private rooms and one shared room. Client rooms were observed to be clean with all required furniture. 3 full bathrooms were observed to be clean, odor-free and in good repair. Water temperature throughout the facility measured at 110 degrees F. Staff room was observed with a full bathroom. Extra linen was observed to be present. First aid kit was observed to be complete.

Dining room was observed free from tripping hazards. A comfortable temperature is maintained and lighting is sufficient for comfort. LPA observed two day perishables and seven day non-perishables. Medications, sharps, and chemicals were observed locked and inaccessible.

Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current as of

August 2024. No client files were reviewed as there are no clients at the facility. Three staff records were observed to be complete with training logs that have met the basic requirement.

No citations are issued during the visit. Report is reviewed with Administrator and a copy is provided.