Facility Evaluation Report

On 04/07/2025, Licensing Program Analysts (LPAs) Arielle Pascua and Triel Lindstrom arrived unannounced to this facility to conduct an annual visit. LPAs met with staff member (SM), Remedios De Belen and explained the purpose of the visit. LPA Pascua asked SM De Belen to contact the Facility Designated Administrator (FDA), Bogdan Condor and inform them that CCL was present at this time. Shortly after, LPAs met with FDA Condor and explained the purpose of the visit. The purpose of the visit was to conduct an annual.

Current census was 5. A brief interview with FDA Condor was conducted.

This facility is licensed to serve and retain 6 elderly residents who all may be deemed non-ambulatory.

This facility also has a hospice waiver for 3 and a dementia plan on file.

Upon arrival at the facility LPA Pascua rang the ring doorbell located on the right side of the double front doors. After several attempts LPA Pascua knocked on the door and heard an individual on the inside of the facility state that they heard the knock but was unable to open the door. LPA continued to knock on the door 3 more times until the door was opened by facility staff. Upon entrance to the facility both LPAs walked through the double front doors and observed a grey reinforcement locking mechanism above the top lock of the door. LPAs observed that this lock would prohibit the door from being open.

Shortly after, LPAs met with FDA Condor and informed him of the lock on the door. LPA Pascua informed FDA Condor that the lock was a safety hazard which prohibited both staff and residents to exit the facility in case of emergency. LPA Pascua asked FDA Condor to take the lock out before the tour of the facility was conducted.