Routine inspection·April 20, 2026

Licensing Program Analyst (LPA) Tuesday Cabiness conducted an unannounced annual visit to the facility. LPA was greeted by the caregiver and LPA stated the reason for their visit. LPA entered the facility and observed (2) additional staff working. House Manager Romeo Dojalte arrived and conducted the inspection with LPA. Administrator, Roilann De Guzman arrived later during the visit. LPA conducted a physical plant tour of the inside and outside. The following was noted: Current census during the visit was (6). Common areas: Living room and dining room were observed to be neat, clean, and organized. Both rooms were observed to be properly furnished and in good repair. The facility maintains a comfortable temperature. Fire extinguisher was fully charged. Required Licensing postings are visibly posted throughout the facility. Kitchen: Kitchen observed to be clean and inaccessible free from pests. Sufficient supplies of seven (7) day nonperishable food and two (2) day perishable foods were observed. Knives and sharps observed to be locked in kitchen drawer. Cleaning solutions and disinfectants observed to be kept in a locked cabinet underneath kitchen sink. Kitchen appliances observed to be working and in proper condition. Bedrooms: The Residents' rooms are adequately furnished with appropriate furniture and lighting system. Hallways/passageways are lighted appropriately. Extra linens/covers were observed stored in a storage closet located in the hallway’s passageway. Bathrooms: Bathrooms were checked for cleanliness and proper operation. Appropriate grab bars and non-slip mats were observed and in proper condition. The hot water temperature was measured within regulations at 116.8°F. (LIC809C cont'd) Garage: There is no designated garage, its permitted into an ADU that is used for staff office and break room. Laundry Room: The laundry room is located in a separate room outside of the facility, near the entrance. The laundry room is kept was observed locked and inaccessible. LPA observed cleaning solutions and toxins properly stored within laundry room and inaccessible to residents. Laundry appliances observed to be working and in proper condition. Backyard: The backyard of the facility is equipped with a designated shaded area with outdoor furniture for residents. LPA observed a pool properly fenced and locked. Medications: Medication were observed kept stored in a locked medication cart located near the dining area. First-aid kit observed to be equipped with Licensing required supplies, including manual. Smoke detectors and carbon monoxide observed to be working properly and were tested.. Resident Records: LPA observed resident missing current medical assessments; no pre-admission or re-appraisals or functional capabilities documents observed in files. Staff Records: Staff missing first/aide CPR certificate, initial and medication training. Citations issued, appeal rights, exit interview conducted and a copy of this report was provided to the Administrator.