Facility Evaluation Report

Licensing Program Analyst (LPA) Alviso conducted a Required - 1 Year inspection and met with live-in caregiver Melanie Taningco. A second caregiver, Brian, was also observed to be working during the inspection. Administrator Josephine Blancaflor was contacted, and arrived within the hour to meet with the LPA.

There were six (6) residents in care during the LPA's inspection. Facility has an approved dementia plan of operation. There is an approved hospice waiver for two (2) residents. Facility has a required infection control plan. Facility has a required emergency disaster plan.

Fire clearance is approved for six (6) non-ambulatory, which includes one(1) bedridden approval (room #1 only). Fire extinguishers (2) were serviced and tagged as required. Facility has a hard wired smoke alarm system, which also has carbon monoxide check. The alarm system was put into test mode to check that it was working properly during the inspection. All exits were free and clear of obstructions. The backyard self latching fire exit gate opened freely, as required.

Emergency disaster drills are being conducted quarterly as required; Last drill was conducted with facility staff on 9/3/25.

The LPA reviewed six (6) resident files, resident medication records, and medication storage, including refrigerated medications. All files had required documentation.

The LPA reviewed five (5) staff files. All staff had criminal record clearance as required. All staff had required first aid certification, and CPR certification, as required. All staff annual training was reviewed during the inspection.