Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced Case Management - Legal/Non-compliance inspection and met with Licensee Mary Grace Lazaro. Administrator Ravenal De Guzman Cruz arrived shortly after.

The purpose of the visit is to ensure the facility is adhering to the Compliance Plan submitted to Community Care Licensing (CCL) office after a Non-Compliance Conference held on 12/03/2024. The case management of inspections will be conducted every 3 months for 2 years.

During the beginning of the case management visit, LPA observed 4 residents depart for their day program. LPA observed 2 residents in the facility and 4 staff in the facility.

LPA reviewed and discussed the plan of correction for the deficiencies and the plan of operation the facility submitted for the NCC meeting with the ADM.

LPA toured the facility with ADM. LPA checked the 3 door alarms of the facility and 2 moving detectors alarms outside the building. All were observed as functional. .

LPA reviewed the appraisal needs and service plan of 6 residents. LPA reviewed the facility staff training log and the 15 minutes resident checking log.

Exit interview was conducted with Administrator Ravenal De Guzman Cruz. The report was provided to Administrator Ravenal De Guzman Cruz for signature. A copy of the report was provided to ADM.