Facility Evaluation Report

On 3/4/2026 Licensing Program Analyst (LPA) Grace Donato made an unannounced annual visit to the facility. LPA met with staff Alex Lumbera and LPA spoke with Licensee Lily Mauricio over the phone. LPA explained the purpose of the visit.

LPA toured the facility inside and outside including resident rooms, common areas, garage & bathrooms. The indoor and outdoor passageways were free of obstruction. The residents have adequate amount of linens in their bedrooms. All personal belongings are intact. While touring the facility it was observed that the room temperature was at 72 deg F. Bathroom water temperature is at 118 deg F. Resident bedrooms and bathrooms were observed to be in good repair. Bathrooms are equipped with grab bars and non-skid floors and mats. Carbon monoxide monitor are working properly. All fire extinguishers have been checked and current. LPA checked the food supply and there is adequate amount of food, 2 days for perishables and & 7 days non-perishable. Sharps and chemicals are locked and inaccessible to residents. Emergency drill is done quarterly.

Medication are locked and centrally stored medications are updated.

Four resident records and three staff records were reviewed. 3 staff members have incomplete training requirements, 2 of which don't have the required 40-hour initial training and 1 don't have 20-hour annual training.