Facility Evaluation Report

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to conduct an annual one year required visit. LPA Jason Lund met with Administrator Jonathan Manaloto and explained the reason for the visit. Census: 4

LPA Jason Lund & Administrator Jonathan Manaloto toured/inspected the physical plant: Patio is shaded with sufficient furniture. The facility and all four bedrooms are equipped with sufficient furniture and lighting. Grab bars and non-skid mats are present in the three resident bathrooms. The facility has an staff room. All common areas are free of hazards, clean and in good repair. The is a storage shed that is locked. There is a fire extinguisher present that was inspected on 2/12/2025 and carbon monoxide detectors in the home. There is a sufficient seven- day non-perishable and two- day perishable food supply. LPA observed locked garage doors, a laundry area (chemicals locked in cabinet), locked drawers for knives, and sharp objects inaccessible to residents. LPA observed auditory devices installed on all exit doors, LPA observed medication storage that is locked and secured, and LPA observed activities available to residents. There was a fully stocked First Aid Kit. LPA Lund reviewed two staff & two residents files and were in compliance.

No deficiencies cited during today’s visit and report left.