Routine inspection·April 28, 2026

On 4/28/2026, Licensing Program Analyst (LPA) Valerie Flores conducted an unannounced 1-year required visit to the facility. LPA Flores met with staff Corazon Sevilleno and explained the purpose of the visit. LPA Flores was granted entry into the facility and a tour was conducted alongside staff Corazon. During the inspection, LPA Flores observed the following: The facility is a single-story structure which consisted of (6) six resident bedrooms, garage, kitchen, living room, dining room, and laundry room. The office documented on the facility sketch has now been converted to a staff bedroom. Resident bedrooms were observed to be equipped with the required bedding, furniture, and functional lighting. Bathrooms were required with grab bars and slip resistant material in the designated areas. LPA observed a fully charge fire extinguisher mounted on the wall near the kitchen. The kitchen was observed to be organized and sanitary. LPA observed a drawer equipped with a lock designated for knives and other sharp items. LPA observed a cabinet equipped with a locked designated for disinfectants and other cleaning solutions. Medication was observed to be centrally stored and made inaccessible to residents and unauthorized representatives. LPA observed books and other activities stored in the TV room. Carbon monoxide and smoke detectors were observed to be fully operable. Water temperature was measured within the required limits. Laundry services are provided on-site. LPA observed a locked cabinet which stored detergents. The facility maintained adequate supply of towels and linen for resident-use. Per Administrator Rose Sumadsad , there are no firearms and/or ammunition on the premises. A records review was conducted for (4) four out of (4) four residents. (3) Three of (4) four resident files were missing Appraisals/Needs and Service Plans and Functional Capabilities assessments. (3) Three staff record were reviewed. Records included but not limited to personnel records, health screening with TB results, background and fingerprint clearance, valid first-aid/CPR certification, and relevant training's. Health and safety concerns were address with Administrator and will be cited on the attached LIC809D. An exit interview was conducted and a copy of the LIC809/D along with appeal rights were provided.