Routine inspection·December 3, 2025

Licensing Program Analyst (LPA) Melisa Rankin arrived at 11:15 a.m. to conduct a 1-year required annual visit. LPA met with Cristeta A. Maglalang, Administrator, and explained the purpose of the visit. A tour of the inside and outside of the facility was conducted. The following was inspected and noted during the annual visit: Physical Plant & Environment Safety: LPA was authorized to enter and inspect facility. LPA toured resident rooms and observed that rooms were tidy and free of odor. The lighting and lamps are sufficient for the use of the facility and for resident comfort and safety. Toilet, hand washing and bathing facilities are operational and secure grab bars are present. The showers have slip resistant mats/flooring. The pathways are clear of any obstructions. Disinfectant and cleaning solutions are inaccessible to residents in care and locked under the kitchen sink and in garage. The facility has sufficient space inside and outside for activities and visiting. The facility has a fenced backyard for client use with plenty of shade. The facility has telephone and internet service for residents’ use. The fire extinguisher was last charged and inspected on 2/11/25. The facility has smoke and carbon monoxide detectors that were tested and working. Operational Requirements: The facility has a current plan of operation on file with the department. The Facility is operating in compliance with the granted fire clearance. The facility is approved for a capacity of 6. The fire clearance is granted for 6 non-ambulatory residents. The facility currently has 2 non-ambulatory residents. Continued 809-C Staffing Records & Training: The facility currently employs 1 full-time Administrator and 2 staff and back-up administrators are cleared and available if needed. Files reviewed had current 1st Aid/CPR, Personnel Records/Application, Health screening with TB results, and Fingerprint clearance/Associations/exemptions. Administrator Certificate expires 10/29/26. Training for 2025 was completed as required and orientation records were available for review. Resident Records & Incident Reports: The facility keeps separate files on each resident confidential. Facility does submit incident reports to the department when required. LPA reviewed 2 resident files for signed Admission Agreements, Personal Rights, Safeguard for property and valuables, Physicians report, Pre-appraisals, Appraisals Needs and Services Plan, Emergency and ID forms. All forms were legible. Food Service: The facility has 2-day perishables and 7 day non-perishables to meet the food service requirement. All food is covered and stored appropriately. Cleaning solutions and equipment are stored separately from food supplies. Incidental Medical Services: Facility provides transportation or assists in providing transportation to medical and dental appointments when needed. The facility uses the Centrally Stored Medication and Destruct Records (CSMDR) and Medication Administration Record (MAR). LPA reviewed residents’ medications, no labels were altered, no medications were expired, and all medications were kept in their original containers. Disaster Preparedness: The current emergency disaster forms were posted. The facility conducted a quarterly disaster drill in October 2025. Emergency exits and telephone numbers were posted. A set of keys is available for staff on all shifts to access full facility in an emergency. Exit interview conducted and copy of report printed for Administrator.