Facility Evaluation Report

On October 28, 2025, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA met administrator, Ruth Gripo and caregiver, Johanna Belleza and LPA explained the purpose of today's visit.

LPA toured the facility inside and outside including the bedrooms (4 private rooms), 2 full- bathrooms, kitchen, 2 living and dining rooms. The facility observed to be cleaned, and tidy. Bedrooms were equipped with the required furniture for residents to use. Bathrooms are equipped with grab bars, and nonskid tile. Facility temperature is comfortable. Hot water temperature in the bathrooms were measured at 105-108 F degrees. Central stored medication, toxins and sharps objects were observed to be locked and inaccessible to residents.

During the tour of the facility, LPA observed chipped paint in the common area, kitchen, resident rooms, etc and broken baseboard throughout the facility.

Emergency drills, and staff training records were reviewed. Food supplies were observed to be adequate.

Facility is equipped with smoke detectors and carbon monoxide detectors. Fire extinguisher was last serviced on May 14, 2025.

LPA reviewed P & I records for 3 residents to be adequate.