Facility Evaluation Report

On 03/17/2026, Licensing Program Analyst (LPA) Jill Nakagawa conducted an unannounced 1 year required inspection and met with house manager Lucille Calimpon. Administrator Victoria Haller was unavailable at the time of inspection. There were 5 residents in care at the time of inspection: clean, well-groomed and dressed appropriately. There were two caregivers on duty.

Facility was found to be clean, orderly, and at a comfortable temperature of 73F with all exits free from obstruction. Toxins are stored in locked cabinets and in the locked laundry room. There was a sufficient supply of hygiene products, cleaners, and paper products for use as needed. Medications were stored in locked cabinets in the kitchen making them inaccessible to residents. Sharps were also locked and inaccessible to residents. All exit alarms were on exit doors and working properly. All bathrooms had grab bars, and non-slip mat/flooring for bathing as needed. All postings were up and visible to all as required. Facility has a sufficient supply of personal protective equipment (PPE). There is an approved Fire Clearance and hospice waiver for six (6) residents. The (2) carbon monoxide detectors were tested and found to be operational. (1) Fire extinguisher was fully charged and last serviced on May 15, 2025. There was an adequate supply of perishable and non-perishable foods. Residents' rooms were furnished as required, clean and well-organized. There was an ample supply of linens. The last fire drill was on 03/05/26. There was an adequate supply of perishable and non-perishable foods as required per Title 22.

Three (3) resident and (3) employee files were inspected and found to be complete.

LPA discussed the Emergency Disaster Plan, weight records, and possible water damage in closet of one of the bedrooms close to bathroom. LPA observed staff engaged with residents, enjoying Karaoke together.

No deficiencies found at the time of inspection. No citations issued.