Facility Evaluation Report

On 06/19/2026 at 9:00 AM, Licensing Program Analysts (LPAs) P. Manalo and K. Nguyen arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Care Director, Rachel Chan and explained the purpose of the visit. Executive Director, Emily Poon arrived shortly after. The facility’s fire clearance was approved for 85 non-ambulatory residents of which 43 residents may be bedridden.

LPAs toured the facility inside and out including but not limited to 7 residents' apartments, bathrooms, activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPAs observe lighting in all rooms is adequate for the comfort and safety of the residents. Hallway temperature was maintained at 73 degrees F. The hot water temperature in a sample of residents shared bathroom were measured at 117.2, 112.5, 110, 114.4, 116.9, 105.2, and 113 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats and non-skid shower pan. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications is locked and inaccessible to residents in care.

Carbon monoxide detectors were in operating condition during visit. Fire Alarm was last inspected on 01/14/2026. Fire extinguisher was last serviced on 07/30/2025 and 07/03/2025. First aid kit was observed to be complete. Fire drill was last conducted on 04/01/2026.

At 10:01 AM, LPAs reviewed 7 residents records. At 10:23 AM, LPAs reviewed 7 staff records and 7 of 7 are associated with the facility. At 1:45 PM, LPAs reviewed a sample of resident’s medications.