Facility Evaluation Report

Licensing Program Analyst (LPA) Valeria Conway arrived at the facility unannounced to conduct the required annual visit at 9:15 A.M. The LPA initially met with caregiver Calixto “Alex” Calixtro and staff Eufrecina Tabuena. Licensee, Maricar Lee was contacted via telephone. At 10:10 A.M. facility designee, Michelle Viernes, arrived at the facility. Licensee arrived at 11:20 A.M. Entrance interview was conducted.

Beginning at 10:20 A.M., the LPA along with facility designee toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 regulation. The following was observed:

COMMON SPACES: In the common areas, walls and flooring were checked for cleanliness and good condition. At the time of the visit, common seating area and dining room furniture were observed to be in good condition. The LPA observed the required postings in the common areas. The facility serves residents with dementia, the auditory alarms on the exit doors were tested and functioned properly at the time of visit. The facility maintained a temperature of 72 degrees. LPA observed a working phone available for residents use whenever needed. Fire extinguisher was observed to be fully charged and last serviced 07/18/2025. LPA observed that fire extinguisher was mounted on the far wall of the common/TV area. Recliners, wheelchairs and other items were positioned in front of and around the extinguisher, obstructing direct access. LPA requested to relocate the fire extinguisher to a readily accessible location. Hardwired combination of carbon monoxide and smoke detectors and a fire door were tested at 10:46 A.M. and all were functional at the time of the visit. This facility doesn’t have a staff room; facility will provide 24/7 care.