Facility Evaluation Report

On 12/24/2025 at 10:07 AM, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to conduct 1-Year Annual Required inspection. Roseline Prasad, Executive Director arrived at 10:55 AM. At 10:55 AM, LPA met ED explained the purpose of the visit.

LPA toured the facility including but not limited to 5 resident rooms, bathrooms, activity room, 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 72 degrees F. The hot water temperature in a residents’ shared bathroom was measured at 112.6 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 03/15/2025. Emergency Disaster Plan was last posted on 05/30/2025. 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. Updated copies of the following documents were requested and reviewed during the visit: LIC 500 Personnel Report, LIC 610E Emergency Disaster Plan, and Current Administrator’s Certificate. Copy of the current Liability insurance certificate will be submitted to LPA by 12/24/2025

No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.