Facility Evaluation Report

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced annual required inspection and met with the designated administrator (DADM) Ninfa Gozon and stated the purpose of the visit. Licensee/Administrator Marie Janice Foronda-Cayabyab arrived at the facility at 9:45 a.m. and left at 12:00 for a prior appointment

The facility is licensed for adults 60+; up to 15 may be non-ambulatory. 6 maybe bedridden, and hospice waiver for 15. LPA observed residents and staff present, 14 out of 15 residents were out attending day program and 1 out of 15 was left at the facility and was resting at the time of the visit.

LPA toured the facility, including common areas, resident rooms, kitchen, bathrooms, driveway, and outdoor spaces and storage areas. Indoor temperature was within acceptable range of 70°F. The kitchen was sanitary and organized; knives and chemicals were locked. Food supply met requirements (2 days perishable, 7 days non-perishable). Kitchen water temperature measured at 112.6°F. Bathroom water temperature ranged from 105°F to 112.6°F.

Bathrooms had grab bars and non-skid mats; resident rooms had adequate storage.

Medications were locked and inaccessible to residents; first aid kit was complete. Outdoor areas were free of hazards; laundry appliances were functional, and cleaning supplies were secured. Fire, smoke, and carbon monoxide systems were operational; hallways were clear and well-lit.