Facility Evaluation Report

On 03/29/2024 at 12:05PM, Licensing Program Analysts LPAs T.Syess-Gibson and L. Hall conducted an unannounced Annual 1-year required inspection. Caregiver Meledel Sumaylo contacted the Administrator by phone. LPAs toured the facility with caregiver Inoke Moa. Administrator, Gurpreet Matharu arrived at 2:00PM. The administrator currently holds a certificate (#6041833740) that expires on 08/15/2024. The facility’s fire clearance was approved for twelve (12) Non ambulatory and six (6) Bedridden residents.

LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of eleven (11) total bedrooms which Ten (10) bedrooms are occupied by the residents. There are no bodies of water observed. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. A comfortable temperature is maintained at 75 degrees Fahrenheit. LPAs 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 119.5 degrees Fahrenheit. Night lights are maintained in hallways and passages to nonprivate bathrooms. Residents’ bathrooms are equipped with grab bars no non slip mats observed.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 09/08/2023. Emergency Disaster Plan was last posted on 11/18/2023. First aid kit was observed to be complete. Fire drill was last conducted on 11/03/2023.