Facility Evaluation Report

Licensing Program Analyst (LPA) Maria (Mita) Partoza, conducted and unannounced Required 1-year inspection visit and was met by Business Office Director (BOD) Mary Ann Bangsal and Maintenance Director (MD) Jaime Martinez. Executive Director/Administrator (ED/ADM) Minnie Lacson-Weber was not present due to prior commitment at the time of the visit.

The facility serves adults age 60 and over, capacity of 148 for ambulatory and non-ambulatory and hospice waiver for 15.

Upon entry to the facility at 1:10 p.m., LPA observed residents participating on the going activity, some of the residents were in the coffee area, some were in the dining area. LPA observed that hallways, walkways and emergency exits were free from debris and obstruction.

LPA was accompanied by the Maintenance Director (MD) while conducting the inspection. LPA inspected the interior of the facility, including but not limited to the entryway, common room, dining room, kitchen and emergency food storage, emergency water storage, laundry room, resident rooms in the assisted and memory care area.

LPA conducted an inspection of the facility kitchen and met with executive chef (EC). EC accompanied LPA to the walk-in refrigerator and freezer and the entire kitchen area including the prep area. LPA observed that the refrigerator temperature is at 32 degree F and freezer is at -4 degree F. LPA observed the kitchen to be in sanitary despite of the flurry of activity while preparing for an event. No resident is allowed in the kitchen. LPA observed that the dining area is kept sanitary and organized and open for residents to use.