Facility Evaluation Report

On 07/1/2025, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct an annual visit. LPA met with Facility Designated Administrator (FDR), Emma Obrero and explained the purpose of the visit. There was one other staff member (SM) present, Myrna Mariano.

Current census was 3. 3 out of 3 residents were out at their respective day programs. A brief interview was conducted.

This facility is licensed for 4 residents who may be non-ambulatory. This facility is also vendorized by Valley Mountain Regional Center to accept and retain level 3 residents at this time.

LPA reviewed 3 resident files. 3 out of 3 resident files are current and up to date. LPA reviewed 4 staff files. 4 out 4 staff files are current and up to date. Facility Designated Administrator has a current and active administrator certificate #7006056735 and expires on 11/16/2026.

The kitchen area was toured. Food supply was reviewed. LPA observed a sufficient seven days of non-perishable foods as well as two days worth of perishable food supplies in the main kitchen. Additional perishable and non-perishable food supplies were identified in the garage. Knives were observed to be locked in a kitchen cabinet and made inaccessible to the residents at this time. Fire extinguisher located in the kitchen was serviced on 11/25/2024.

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