Routine inspection·March 25, 2025

On 03/25/25, Licensing Program Analyst (LPA) Debbie Palacios made an unannounced visit to the facility to conduct a required annual inspection. LPA was greeted and granted entry by Caretakers Gina Agbayani and Maribeth Dayrit who were informed of the purpose of the visit. The facility has a fire clearance for six (6) Non-ambulatory residents. Only one (1) Bedridden is granted and Hospice waiver is for four (4). Dementia plan of operation is on file. LPA toured the facility with Caregiver Maribeth Dayrit and reviewed records. During the tour, LPA observed the facility is made up of a one (1) story home with six (6) resident bedrooms, five (5) resident bathrooms, a living room, dining room, kitchen and attached garage. All resident's bedrooms had required furniture and lighting. LPA toured the facility's exterior and observed outdoor pathways were free of obstructions. Outdoor shaded seating area is also available for the residents in care. LPA observed a hallway cabinet filled with clean towels, blankets, and linen, available for the residents. LPA toured the kitchen and observed the facility has a 2-day supply of perishable foods and more than a 7-day supply of non-perishable foods, which are stored in a safe and healthful manner. LPA toured the garage and observed an additional refrigerator with perishable foods. LPA observed that in the garage, there is the Laundry section where the washer and dryer are located; LPA also noted the facility secures additional cleaning solutions, laundry detergent, and disinfectants in the locked garage. Caregiver tested one (1) of the smoke alarms/carbon monoxide detectors and LPA observed it to be operational. LPA also observed one (1) charged fire extinguishers mounted near the kitchen wall, last serviced on 03/09/26 . Medications are secured in a locked cabinet stored in the closet near the entrance. Staff files reviewed include but not limited to have personnel records, health screenings, criminal record clearance, required training, and valid first aid/CPR certification. Resident files included but are not limited to signed admission agreements, pre-placement, personal rights, house rules, needs and service plans, and updated physician reports. Facility sketch, LTCO, CCL complaint poster, license and emergency disaster plan is posted is posted throughout the facility. During today's visit, LPA did not issue any citations. An exit interview was conducted and a copy of this report was reviewed and provided.