Facility Evaluation Report

At 10:00 am on 04/10/2025, Licensing Program Analyst (LPA) Rankin arrived at the facility unannounced to conduct the annual facility inspection. LPA met with Administrator Michelle Tantingco announced who they are and the reason for the visit.

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

Physical Plant & Environment Safety: The facility is a 7 bedroom and 6-bathroom. The facility is occupying 5 residents and employs 4 staff of which one is the Administrator. The facility is clean, safe and sanitary. LPA was authorized to enter and inspect facility. LPA's noted that all resident bedrooms had required furnishings and bedding by regulations. The facility has smoke and carbon monoxide detectors. Carbon Monoxide and smoke alarms were tested and working properly at time of visit. The lighting and lamps are sufficient for the use of the facility and for resident comfort. The showers have non-skid mats/flooring. Toilet, hand washing and bathing facilities are operational and secured grab bars are present. The pathways are clear of any obstructions. Facility is well lit inside and outside for safety. Disinfectant, 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 facility has telephone and internet service for resident use. The backyard has 2 locked sheds to store extra items, including yard tools.

Operational Requirements: The facility has a current plan of operation on file. 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 03/04/2026. The facility is approved for a capacity of 6 non-Ambulatory and approved for hospice waiver of 6.