Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required inspection and met with Administrator, Mary Clein Galang. Annual fees are current.

LPA/Administrator toured the facility at 9:00 am and made the following observations: Nurse's Office storages medications and they were locked, changing room with privacy screens, two restrooms, kitchen area, relaxation room, activities and conference rooms. Water in bathroom measured at 119.5 F which are within allowable range of 105 to 120 degrees F. Hygiene products were available for participant's use. Knives and other items that could pose a risk were locked. Passageways and ramps were free from obstructions. The facility does not handle cash resources. Participants bring their own snacks and lunches. Refrigerators for participant lunches were clean. A cabinet in the kitchen contains emergency supplies. The facility is assisting to feed four participants through G-tubes. LPA was able to verify that facility maintains a day supply of client prescribed nutritional formulas and supplies which are provided daily from participant's home. LVN is responsible for all tube feeds and medication management. RN consultant comes every month to conduct in-service training for staff and is available over the phone for any consult. The facility's fire extinguishers were last serviced January 2025. The landlord is responsible for maintaining the sprinkler and smoke alarm system. Last disaster drill was conducted on November 25, 2025. Facility provides transportation for some participants.