Facility Evaluation Report

At 10:00 am on 03/10/2026, Licensing Program Analyst (LPA) Rankin arrived at the facility unannounced to conduct the annual facility inspection. LPA met with Licensee's Joyce Cabandong.

A tour of the inside and outside of the facility was conducted. The following was inspected and noted during the annual visit:

Physical Plant & Environment Safety: The facility is a 6 bedroom and 3 bathroom home. One room is for staff. The facility occupies 4 residents and employs 3 staff of which one is the Administrator and facility has 2 on-call staff. The facility is clean, safe and sanitary. LPA noted that all resident bedrooms had required furnishings and bedding. The facility has smoke and carbon monoxide detectors which were tested and working at time of visit. The lighting and lamps are sufficient for the use of the facility and for resident comfort and safety. The showers have non-skid flooring. Toilet, hand washing and bathing facilities are operational and secured grab bars are present. The pathways are clear of any obstructions. Disinfectants, cleaning solutions and poisons are inaccessible to residents. The facility has sufficient space inside and outside for activities and visiting. The facility has a backyard for client use with furniture and plenty of shade. The backyard has a locked shed to store extra furniture and items.

Operational Requirements: The Facility is operating in compliance with the granted fire clearance based on the facility sketch. The facility has current liability insurance and expires on 03/07/2027. The facility is approved for a capacity of 6 non-Ambulatory and approved for hospice waiver of 1.