Facility Evaluation Report

On 04/20/2026, Licensing Program Analysts (LPA) Arielle Pascua arrived unannounced to this facility to conduct an annual visit. LPA was greeted by staff members, Merlita Bacalitos, Lorna Valdez, Oliver Menquito. LPA Pascua asked Staff Members to call the Facility Designated Administrator (FDA), Maricel Casillas to inform them that CCL was present. LPA Pascua spoke with FDA Casillas via telephone and informed LPA Pascua that she was unable to come to the facility due to a medical appointment. FDA Casillas appointed SM Valdez to continue and sign for the annual visit. At 1:20pm, FDA Casillas arrived at the facility.

This facility is licensed to served and retain up to 4 residents, of which 3 may be ambulatory with 1 resident who can be non-ambulatory residing in room #4. This facility is also vendorized by Valley Mountain Regional Center to accept and retain Level 6 residents at this time.

Current census was 4. 3 out 4 residents were out at their respective day program at this time. A brief interview with SM Valdez was conducted.

A review of 4 resident files and 3 staff files were conducted. All resident and staff files were complete and up to date. The facility designated Administrator, Maricel Casillas, did have her Administrator certificate posted with an expiration date of #7018782735 and expires at 07/15/2027 and in compliance at this time.

Tour of the facility was conducted. Smoke alarms and carbon monoxide detectors were tested and observed to be in good repair at this time.

Common areas were toured. Dining area, living area, and all other areas intended for resident use were observed to be furnished and maintained in compliance at this time.

Kitchen area was toured. Cabinets and drawers were reviewed. Knives and toxins were observed to be made inaccessible at this time. It was observed that the facility has a 2 day perishable and 7 day non-perishable food supply.

Fire extinguisher, hanging on kitchen wall, was observed to have been annually serviced by the Local Fire Company, R. Brown and Associates on 11/04/2025 and is in compliance at this time.