Facility Evaluation Report

At approximately 12:10PM, Licensing Program Analyst (LPA) Ali Deniz conducted an unannounced Annual continuation inspection for this adult residential facility. LPA was greeted by staff, Charlyn Marie Doyon. Licensee/Administrator, Ethel Grace Victoria Oribello was contacted and arrived later in the visit. The facility is licensed for 4 ambulatory residents and facility currently provides care for 4 residents. Upon arrival LPA informed that 3 of 4 clients were attending a day care program.

At approximately 12:45PM, LPA reviewed 3 resident records and found 3 out of 3 residents were containing current physician's reports, care plans, and signed admission agreements on file. Medications are kept locked cabinet and inaccessible to clients. Medication records are thorough and contained physician's orders for each resident.

P&I's are kept in a locked filed cabinet in the facility TV room; facility responsible for all client’s P&I and money; facility had P& I and ledgers available during the visit. P& I money not comingled, and ledgers are current on 05/09/2025.

Updated copies of the following documents were requested for facility file and are to be submitted to CCL by due date of 06/09/2025:

LIC 610 Emergency Disaster Plan (If changed)

Copy/Proof of Updated Certificate of Liability Insurance

No deficiencies were observed in the areas inspected, No citations were issued during today’s visit.