Facility Evaluation Report

Licensing Program Analyst (LPA) Valeria Conway arrived at the facility unannounced to conduct a required annual visit at 10:30 A.M. LPA met with Administrator Charmie Hayag and Licensee Maricel Villaverde. Entrance interview conducted.

Beginning at 10:45 A.M., the LPA, along with Administrator and Licensee toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:

COMMON AREAS : This includes the living room, dining room areas and recreation/sitting area. LPA observed common area to be clean and properly furnished at the time of the visit. The LPA observed the fire extinguishers to be fully charged and last serviced on 05/05/2024. Hardwired smoke detectors and separate carbon monoxide detector were tested at 11:52 A.M. and were functional at the time of the visit. Additionally, this facility is equipped with a sprinkler system. Last inspection by the Fire Marshal was conducted on 06/21/2024. The LPA observed the required postings throughout the facility.

BEDROOMS : There are four (4) bedrooms in the facility. At the time of the visit, bedrooms #1 and #3 are designated for shared resident use, bedroom #2 is occupied by a single resident and one (1) staff room. The staff room is kept locked. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. The facility serves residents with dementia, the auditory alarms on the exit doors were tested and functioned properly at the time of visit.