Facility Evaluation Report

Licensing Program Analyst (LPA) L. Xiong conducted a Case Management visit for the purpose of Health and Safety check of residents in care. LPA observed two residents and one staff working during facility visit. LPA allowed entrance by Direct Care Staff, Lady Villanueva. Per staff, there is currently one (1) resident receiving hospice services and no home health services.

A tour of the facility was conducted. Adequate food supply to meet the needs of residents. Facility observed to be clean and odor free. Facility temperature comfortable.

LPA observed two (2) residents at the facility and was informed four (4) went to day program.

LPA obtained updated LIC 9020 (Register of Facility Clients/Residents) during the visit.