Facility Evaluation Report

Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced annual inspection and met with Licensee/Administrator Azucena 'Sandy' Zipagan and Assistant Administrator (AADM) Triponia M. Tuazon. LPA stated the purpose of the visit. ADM states the facility has 6 residents. No residents were present during inspection. Licensee stated all 6 residents were at day program.

LPA toured the interior and exterior of the facility with Licensee and AADM to include the kitchen, resident rooms, dining rooms, bathrooms, back and front of the facility. All exit and passageways were free and clear of obstruction. LPA observed the facility to be clean, safe, sanitary and in good repair.

LPA toured the kitchen area and observed a perishable food supply of at least two days and a non-perishable food supply of at least seven days. LPA observed refrigerator temperature at 40 F and Freezer at 0 F.

LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care.

The facility was equipped with smoke and carbon monoxide detectors. Fire extinguishers were last serviced on 6/3/2025. The facility's fire sprinkler system was inspected on 10/11/2023 by a third party vendor and has a five (5) year certification letter for compliance. The facility first aid kit was reviewed. The facility emergency drill log was reviewed. The facility's last drill was conducted on 3/2/2026. The facility is conducting drills quarterly.