Alamo Residence Home

Type of visit: Required - 1 Year

On 1/21/2026 at 9:20 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct the required 1-year annual inspection. LPA was greeted by House Manager, Jhon Marie Woffenden. Administrator, Joy Manalang arrived at 1:42pm. Facility is approved for all may be non-ambulatory residents. LPA toured facility including but not limited to residents bedrooms, caregiver bedrooms, bathrooms, kitchen, common areas and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 71 degrees F. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 114.6 degrees F. Other faucets are labeled with a hot water warning sign. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. LPA observed carbon monoxide and smoke detectors during visit. Fire extinguisher was last inspected on 12/16/2025. Emergency Disaster Plan was last posted on 1/21/2026. First aid kit was observed to be complete. Disaster drill was last conducted on 1/16/2026 . LPA reviewed 3 staff records and 3 of 3 have CPR First Aid. LPA reviewed 6 residents records. No deficiencies cited during visit. Exit interview conducted with Administrator and a copy of this report provided.the state’s words, verbatim · CDSS document, Jan 21, 2026

Allegation investigated: Facility failed to provide reimbursement of community fee Facility is not heated to the required temperature

On 5/15/2025 at 8:30AM, Licensing Program Analyst (LPA) A Gomez arrived unannounced to deliver findings in regard to the allegations above. LPA met with Staff, Millet De Lumen. Administrator was unable to attend visit and approved over the phone for staff to sign the report. During the investigation, LPA conducted interviews, toured facility, and reviewed files. On the allegations Facility failed to provide reimbursement of community fee and Facility is not heated to the required temperature the following was found. Report continues on LIC 9099-C Unsubstantiated LPA visited the facility on 2/20/2025, 4/30/2025, and 5/15/2025 and observed on each visit that the facilities temperature was within regulation range. LPA also interviewed R2, who stated that sometimes they feel cold in the facility however they have a space heater and will put on long sleeves if cold. LPA observed that each residents room has a space heater available for use. LPA also reviewed the original hard copy of the admissions agreement for R1 and saw that the admissions agreement stated the monthly rate was $9000 and that there was a non-refundable move in fee of $500. LPA observed that a refund check was issued on 12/2/2024 in the amount of $8709. R1 was a resident of the facility from 11/27/2024 to 12/1/2024 (a total of 5 days). Upon move in R1's representative paid $1,700 which included a pro rate of $300 per day and a non-refundable move in fee of $500. For the month of December's rent, $9000 was charged. LPA observed that the pro rate amount per day for December was approximately $290. The refund check reflects that R1's representative was issued the correct amount. Therefore the above allegations are unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted and a copy of this report provided to the facility.the state’s words, verbatim · CDSS document, May 15, 2025 · control 15-AS-20250206123139

Type of visit: Required - 1 Year

On 1/10/2025 at 9:00 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct the required 1-year annual inspection. LPA was greeted by Care Staff, Millet Delumen. Administrator, Joy Manalang later arrived at 10:00 PM. Facility is approved for all may be non-ambulatory residents. LPA toured facility including but not limited to residents bedrooms, caregiver bedrooms, bathrooms, kitchen, common areas and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees F. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 119.8 degrees F. Other faucets are labeled with a hot water warning sign. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. LPA observed carbon monoxide and smoke detectors during visit. Fire extinguisher was last purchased on 1/4/2025. Emergency Disaster Plan was last posted on 1/4/2025. First aid kit was observed to be complete. disaster drill was last conducted on 10/16/2024 . LPA reviewed 3 staff records and 3 of 3 have CPR First Aid. LPA reviewed 5 residents records. No deficiencies cited during visit. Exit interview conducted with Administrator and a copy of this report provided.the state’s words, verbatim · CDSS document, Jan 10, 2025

Type of visit: Required - 1 Year

On 1/04/2024 at 12:15 PM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct the required 1-year annual inspection. LPA was greeted by Care Staff, Jhon Marie Woffenden. Administrator, Joy Manalang later arrived at 1:20 PM. Facility is approved for all may be non-ambulatory residents. LPA toured facility including but not limited to residents bedrooms, caregiver bedrooms, bathrooms, kitchen, common areas and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees F. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 114.8 degrees F. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. LPA observed carbon monoxide and smoke detectors during visit. Fire extinguisher was last purchased on 1/4/2024. Emergency Disaster Plan was last posted on 1/4/2024. First aid kit was observed to be complete. disaster drill was last conducted on 10/14/2023 . LPA reviewed 4 staff records and 4 of 4 are associated. LPA reviewed 4 residents records. Report continues on LIC809-C Updated copies of the following documents were requested for facility file and are to be submitted to CCLD by 1/19/2024: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Current Administrator’s Certificate No deficiencies cited during visit. Exit interview conducted with Administrator and a copy of this report provided.the state’s words, verbatim · CDSS document, Jan 4, 2024