Facility Evaluation Report

On November 20, 2025 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual visit. LPA met with manager, Sally DeLa Cueva and caregiver, John A. Masbad and LPA explained the purpose of the visit.

LPA toured the facility inside and outside including all of resident rooms, common areas & kitchen. The indoor and outdoor passageways were free of obstruction. No accessible bodies of water of fire safety hazards observed. Extra linen was observed. One shared room and two private rooms with all required furnishings and bathrooms were observed to be in good repair and odor free.

A comfortable temperature is maintained and lighting is sufficient for comfort. Hot water temperature in the bathrooms and kitchen were measured at 110-114 degrees F.

Sharps, toxins and medication were locked and inaccessible to residents. Smoke detectors and carbon monoxide were observed to be adequate. Fire extinguishers were last inspected on 7/24/2025. 2 days for perishables and 7 days non-perishables were observed. Emergency drills were reviewed. Emergency Disaster supplies are stored in the garage.

A review of (4) resident files was conducted and noted on the LIC 858.

A review of (2) staff files was conducted and noted on the LIC 859.

During the visit, there was no residents present at the facility as they are attending the day program.

No citations are issued during the visit. LPA reviewed report with Sally DeLa Cueva and John Masbad and a copy is provided.