Facility Evaluation Report

Licensing Program Analyst (LPA) Steve Chang and Licensing Program Manager (LPM) Romeo Manazano conducted an unannounced case management visit and met with Administrator (ADM) Divina Fernandez.

During inspection of resident's (R1) bedroom (#3 as specified in facility floor plan), and bathroom, a box of prescribed medication was found inside the bathroom cabinet unlocked. According to R1's physician report 9/12/2025, R1 is able to store and administer medication, however, R1 has neurological disorder. ADM stated that they will contact R1's physician and/or responsible party to clarify. ADM also added that R1 will not be able to determine when and what to take. Also, LPA/LPM observed a can of comet (cleaning solution) on top of sink counter accessible. R1 lacks awareness and unable to access toxic materials.

During inspection of the facility bedrooms, LPA/LPM observed that full bed rails for two residents R2 and R3, while the rest of the residents, R4 to R6 has half bed rails. R2 has a medical note for the hospital bed but the rest of the residents does not have medical notes. ADM stated that they are both utilizing bed rails for mobility and safety. In addition, R2 was observed utilizing a wheelchair with a seat belt. R2 stated that he/she need it for his/her safety. R2 stated that his/her son who works for an airline, so he/she is aware of wearing a buckle seat belt for his/her safety. R2 is alert and oriented but when asked if he/she is able to release seat belt, he/she said he/she unable to unbuckle due to weakness. ADM stated that there is no medical note for the seat belt.