Facility Evaluation Report

At approximately 11:20 AM Licensing Program Analyst (LPA) Star Stevenson arrived unannounced to CONTINUE a required 1 year annual inspection and placed a call to Administrator Maria Batungbakal to advise of today's continued inspection with Administrator arriving at approximately 11:40 AM.

At 11:50 AM three (3) of 3 staff files and two (2) of 2 client files were reviewed. All all files had required documentation per title 22 regulations.

At approximately 12:15 AM Medicines were observed to be centrally stored and locked, in two (2) out of two (2) records, the morning medicine administration record had not been filled out for the morning meds by 12:15 AM and a Technical Advisory for CCR 80075(b)(5)(B) was issued.

P&I monies were observed to be secured and do not go over their affidavit of client cash resources.

LPA obtained the following documents to update facility file:

LPA requests licensee to submit the following documents by 05/08/2026

1)Two(2) Designation of Facility Responsibility (LIC308) forms for staff S1 and S2

Signature of administrator denotes receipt and appeal rights were given.