Facility Evaluation Report

On 03/10/2026 at 10:00 AM, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Nate Runas, Director of Operations and explained the purpose of the visit. Executive Director Manjot Kaur arrived at 11:20 AM. LPA explained the purpose of the visit to ED.

At 10:10 AM, LPA toured the facility with Director of Operations Nate Runas, including but not limited to 6 residents’ apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPA observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 70 degrees F. The average hot water temperature in 6 resident bathrooms were measured at 117.5 degrees Fahrenheit. 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. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care.

Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 03/03/2026. Emergency Disaster Plan was last reviewed and updated on 03/10/2026. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 11/19/2025.

LPA reviewed 5 residents records and 5 staff records, and all were complete. LPA also reviewed a sample of resident’s medications. The following documents were reviewed during the visit: LIC 500 Personnel Report

,LIC 610E Emergency Disaster Plan, Liability Insurance, and Current Administrator’s Certificate.

Exit interview conducted and a copy of this report provided.