Pre-licensing visit·April 1, 2026

On 04/01/26 Licensing Program Analysts (LPA) Villegas conducted a pre-licensing evaluation for an (RCFE) facility type. Today’s pre-licensing evaluation was conducted with Administrator Reyolito G. Maniwang. An application was submitted to CCLD on 07/25/25. The licensee applied for a license to serve (6) elderly adults ages 60 and over. There is an approved fire clearance for (5) non ambulatory and (1) bedridden resident, bedridden resident to be in bedroom #3. The fire clearance was granted on 02/10/26 by LBFD. Licensee has submitted an infection control plan to CCLD. Administrator certificate is active (6057593740 Exp: 09/04/2027). Facility currently does not have liability insurance, Administrator was reminded that liability insurance must be obtained within 90 days of admitting the first resident(s). Facility will not be handling residents cash resources. The facility is a one- story home in a residential neighborhood and consist of the following: A living room/dinning, a kitchen, a laundry area, a den with a staff work area, and an attached garaged used for storage. There are (3) bedrooms which are all shared bedrooms, bedrooms #2 and 3 have ramp access, (2) bathrooms of which (1) is for residents and (1) is for staff, a linen closet, and there is an outdoor shaded seating area. There are no bodies of water nor firearms are on the property, passageways, walkways and driveway are free from obstructions. The resident bedrooms are spacious and will easily accommodate the resident's furnishings. Beds have the required linen/supplies, chairs, lamps and dressers were all observed in addition to closet space. Each bedroom has a smoke/carbon monoxide detector. Adequate supply of linen and hygiene products observed. The facility has activities and other recreational materials for the resident's use. A land line and internet service were observed. Posted & readily available for review in the entry way: facility sketch, the Emergency disaster plan, Personal rights, See something say something, Administrator certificate and facilities visitors’ policy. Water temperature measured at 111 F., sharps and toxins are locked, first aid kit and manual observed, 2 fire extinguishers are fully charged and mounted. Smoke and carbon monoxide detectors are interconnected and operational, auditory alarms are operational. LPA observed a space for where medications will be stored and locked. A supply of water, and a supply of perishable and non-perishable food observed. Component III: Conducted during today’s Pre-Licensing visit. An exit interview was conducted, and a copy of this report was provided to Administrator. Accordingly, LPA will submit a copy of this facility evaluation report to the Central Applications Bureau (CAB) for review. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAB Analyst assigned to their application.