Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Sep 17, 2025
Visit Reason
The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing requirements.
Findings
The facility was found to be in full compliance with no deficiencies cited. The inspection included a tour of the facility, review of staff and resident files, and verification of emergency and infection control plans.
Report Facts
Staff files reviewed: 5
Resident files reviewed: 5
Food supply duration: 2
Food supply duration: 7
PPE supply duration: 30
Hot water temperature: 108
Facility temperature: 72
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pramod Balanandan | Administrator | Met during inspection and identified as infection control leader |
| Kavitha Pramod | Co-Administrator | Met during inspection |
| Daisy Panlilio | Licensing Program Analyst | Conducted the inspection |
| Bennett Fong | Licensing Program Manager | Named on report |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 0
Aug 29, 2024
Visit Reason
The visit was an unannounced required annual inspection conducted to evaluate compliance with licensing regulations.
Findings
The inspection found no deficiencies. The facility was observed to have proper infection control measures, emergency plans, and safety equipment in place. Staff and resident files were reviewed and found compliant.
Report Facts
Staff files reviewed: 3
Resident files reviewed: 4
Administrator certificate expiration: Jan 16, 2025
Hot water temperature: 106
Facility temperature: 74
PPE supply duration: 30
Perishable food supply duration: 2
Non-perishable food supply duration: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pramod Balanandan | Administrator | Met with Licensing Program Analysts during inspection and identified as infection control leader |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Aug 30, 2023
Visit Reason
The visit was an unannounced required annual inspection conducted by the Licensing Program Analyst to evaluate the facility's compliance with regulations.
Findings
The inspection found no deficiencies. The facility was toured, documents reviewed, and interviews conducted. Safety measures, infection control, emergency plans, and supplies were all found to be adequate.
Report Facts
Staff files reviewed: 5
Resident files reviewed: 5
Staff interviews conducted: 2
Resident interviews conducted: 2
Hot water temperature: 111
Facility temperature: 74
Perishable food supply: 2
Non-perishable food supply: 7
PPE supply: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kavitha Pramod | Administrator | Met with Licensing Program Analyst and authorized staff to act on her behalf |
| Rony Apostol | Staff | Met with Licensing Program Analyst during inspection |
Inspection Report
Routine
Census: 5
Capacity: 6
Deficiencies: 0
Sep 14, 2022
Visit Reason
Unannounced infection control inspection conducted as a required 1-year visit to assess compliance with infection control and facility safety standards.
Findings
No deficiencies were cited during the visit. The facility demonstrated compliance with infection control measures including universal screening, PPE availability, social distancing signage, and sufficient food and supply stocks.
Report Facts
Food supply duration: 2
Food supply duration: 7
PPE supply duration: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Pramod Balanandan | Administrator | Met during inspection and authorized staff to sign reports |
| Ronnie Apostol | Staff | Met during inspection |
| Daisy Panlilio | Licensing Program Analyst | Conducted the inspection |
| Bennett Fong | Licensing Program Manager | Named in report |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Oct 5, 2021
Visit Reason
The visit was an infection control annual inspection conducted to evaluate COVID-19 mitigation practices and overall infection control compliance at the facility.
Findings
The facility was found to be in compliance with infection control requirements, including COVID-19 mitigation plans, vaccination status, PPE supplies, and safety measures. No deficiencies were cited during this visit.
Report Facts
Days of nonperishable food supply: 7
Days of perishable food supply: 2
Facility room temperature: 74
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Daisy Panlilio | Licensing Program Analyst | Conducted the infection control annual inspection |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Rony Apostol | House Manager | Met with Licensing Program Analyst during inspection |
| Kavitha Pramod | Administrator | Authorized House Manager to act on her behalf during inspection |
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