Facility Evaluation Report

On 1/6/2026 at 9:30 AM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct this Required Annual Inspection. Upon entry, the LPA stated the purpose of the visit to Administrator Leonora Maquilan. At approximately 10:45 AM, Administrators Marvin Tom and Evelyn Hong Yuan arrived at the facility.

The LPA toured the facility including but not limited to residents’ rooms, bathrooms, kitchen, common areas and the backyard. The LPA observed adequate lighting for the comfort and safety of residents in all rooms. Inside and outside areas are free of obstruction and no bodies of water. The temperature in the kitchen was measured at 68.7 degrees Fahrenheit at 10:15 AM. The maximum hot water temperature was measured at 115.1 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and slip-resistant mats. No smoking signs posted for residents on oxygen. There is more than the minimum of a one-week supply of nonperishable food and 2 days of perishable food. Centrally stored medications, sharps, and toxic cleaners are inaccessible to residents in care.

The LPA observed the required postings in the facility, including the Residential Care Facility for the Elderly Complaint Poster, Ombudsman and Personal Rights posters, and the Theft and Loss Policy. Smoke detectors and carbon monoxide detectors were tested and found to be in operating condition. The fire extinguisher was fully charged and serviced within one year on 8/28/2025. The Emergency Disaster Plan was last reviewed on 5/1/2025. First aid kit was observed to be complete. Liability insurance expires on 12/7/2026. Facility cited because emergency, disaster, and fire drills were not conducted on a quarterly basis. The most recent drill was conducted on 5/1/2025.

The LPA reviewed 5 resident records and 5 staff records.

1 B Type citation was issued during the inspection.

Exit interview conducted and a copy of this report provided.