Facility Evaluation Report

Licensing Program Analyst (LPA) Marcela Yanez conducted an unannounced Required 1 Year visit and met with Nilo Ambagan, Administrator. LPA announced the purpose of the visit.

During visit, LPA toured the facility inside and out. LPA toured the Laundry area and office and observed food storage areas and locked cabinets for cleaning supplies. LPA observed the kitchen area and observed locked cabinets for medications, sharp objects, and cleaning supplies. LPA observed perishable food supply of at least two days and a non-perishable food supply of at least seven days.

LPA toured three resident bedrooms. Each bedroom had available bedding and clothing storage areas as well as functioning lights. ADM tested the smoke detector in the hallway and found the smoke detector to function properly when tested. LPA toured two out of two resident bathrooms. Each bathroom had available soap and paper towels and functioning lights. The water temperatures in the bathroom sinks measured with thermometer at 105.8-106.7 F. LPA observed first aid kit with gauze, scissors and tweezers and guide.

LPA toured the outside area and found the exits to be clear of obstructions. LPA observed fire extinguisher was last serviced on 03/03/25. LPA reviewed Fire and Earthquake log. Fire drill was last conducted on 09/25/25, and earthquake drill on 09/05/25. LPA observed a locked shed used for storage.

LPA reviewed resident records for 3 residents. LPA reviewed 3 staff records. ADM and LPA reviewed Centrally Stored Medication Record and P & I for 3 residents.

No deficiency were cited as per California Code of Regulations Title 22. This report was reviewed with Nilo Ambagan and a copy of this report was provided.