Inspection Report — Jan 28, 2026
Annual Inspection
Date: Jan 28, 2026
Visit Reason
The inspection was a required one-year unannounced visit to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be clean, sanitary, and in good repair with all required resident and personnel records complete and up to date. No deficiencies were cited during the inspection.
Report Facts
Residents on hospice: 3
Non-ambulatory residents: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Frederick Locsin | Licensee / Administrator | Met with during inspection and provided information about the facility |
Inspection Report — Jan 13, 2025
Annual Inspection
Date: Jan 13, 2025
Visit Reason
The inspection was an unannounced required annual inspection combined with a case management visit triggered by a self-reported incident involving a resident elopement.
Findings
No deficiencies were cited during the visit. The facility reported a resident elopement incident that occurred on December 19, 2024, with no signs of trauma found. The resident was admitted to home health upon return. The Licensee was provided technical assistance regarding the absentee notification plan.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Carmen Lopez | Licensing Program Analyst | Conducted the inspection and case management visit |
| Frederick Locsin | Administrator/Director | Facility Administrator present during the visit |
| Donnah Locsin | Licensee | Licensee present during the visit and involved in incident reporting |
Inspection Report — Jan 9, 2024
Annual Inspection
Date: Jan 9, 2024
Visit Reason
An unannounced required annual inspection was conducted to evaluate compliance with licensing requirements at the facility.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies observed or cited. All safety equipment and required documents were in place and compliant.
Report Facts
Fire extinguishers present: 2
Days of perishable food: 2
Days of non-perishable food: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Carmen Lopez | Licensing Program Analyst | Conducted the annual inspection and authored the report |
| Frederick Locsin | Administrator | Facility administrator present during the inspection |
| Donnah Locsin | Licensee | Licensee present during the inspection |
Inspection Report — Dec 23, 2022
Annual Inspection
Date: Dec 23, 2022
Visit Reason
Licensing Program Analyst Tammer de los Santos visited the facility to conduct an annual required licensing inspection.
Findings
The inspection verified compliance with infection control practices including universal entry screening, temperature checks, visitor sign-in, hand hygiene promotion, face coverings, and availability of PPE. No deficiencies were cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alyssa Collins | Lead Caregiver | Met with Licensing Program Analyst during the inspection and participated in exit interview. |
| Tammer de los Santos | Licensing Program Analyst | Conducted the annual required licensing inspection. |
| Denise Powell | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report — Oct 12, 2022
Date: Oct 12, 2022
Visit Reason
An unannounced case management visit was conducted following a self-reported incident involving a resident who was sent to the hospital for an injury.
Findings
No deficiencies were cited during the visit. The case management requires further follow-up and may involve additional visits or phone calls.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Frederick Locsin | Administrator | Met with Licensing Program Analyst during the visit |
| Donnah Locsin | Licensee | Contacted via telephone during the visit |
| Carmen Lopez | Licensing Program Analyst | Conducted the unannounced case management visit |
| Rebecca Hedgecock | Licensing Program Manager | Named in the report header |
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