Facility Evaluation Report

On 04/07/2026 at 1:04 pm, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Care Staff, Helen Tamani and explained the purpose of the visit. Administrator Chia Hoay Ong was not present during the visit.

LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area 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 73 degrees Fahrenheit .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 105.6 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents.

Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 11/11/2025. Emergency Disaster Plan was last posted on 11/11/2025. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 01/28/2026.

LPA reviewed 5 residents records and 5 staff records; all were complete. LPA also reviewed a sample of resident’s medicatio ns. LPA reviewed the following documents, LIC 500 Personnel Report, Emergency Disaster Plan, Liability Insurance and Current Administrator’s Certificate.

Exit interview conducted and a copy of this report provided.