Routine inspection·February 28, 2025

Licensing Program Analyst (LPA) Debbie Correia made an unannounced visit to the facility to conduct an annual licensing inspection. LPA identified herself to Caregiver Janet Balingit and was granted entry into the facility. Administrator Bajaoisan was contacted and arrived at the facility to join the inspection. The facility is licensed to serve six (6) residents; of which all can be non-ambulatory and/or receiving Hospice Services, and 4 residents may be bedridden. During today's visit all 6 Residents were present. LPA Correia conducted a resident records review and conducted a partial facility tour. Per today's facility visit resident records were complete and up to date. During the facility tour LPA observed smoke and carbon monoxide detectors were present and operable, as well as a fire extinguisher. The internal ambient temperature was 78 degrees Fahrenheit. The require posting were appropriately displayed, and the facility had a working landline. Sharps, toxins, and medications were locked and inaccessible to Residents in care. An overall inspection of the facility began today however due to time constraints LPA was unable to complete the visit and will return later to conduct the remaining portion of this inspection. No deficiencies were cited during today's visit. This report was discussed with Administrator Bajaoisan. A copy of the report and License Rights (01/2016) will be provided at the conclusion of the visit, and signature on this form acknowledges receipt of the rights and a copy of this report.