Facility Evaluation Report

Licensing Program Analyst (LPA) Delmundo conducted an announced pre-licensing inspection. License application is for six (6) total capacity, all non-ambulatory. Fire clearance was granted on January 22, 2025. LPA met with Thinn Aye, applicant-administrator, and Jovany Sarabia, future staff.

LPA toured the facility inside out. There is no body of water and fire place. LPA inspected the living rooms, dining area, kitchen, bedrooms. Bedrooms were observed appropriately furnished with adequate lighting and drawers. Facility has sufficient towels, extra bed sheets and comforters. Equipment and supplies for residents' personal hygiene are available and on site. Dinner and silver wares were observed sufficient for residents' use. Bathrooms with showers were observed with grab bars and non-skid mats. Food supplies checked and observed sufficient good for seven days of non-perishables. Facility was observed equipped with refrigerator, microwave, dishwasher, washer and dryer. Cabinet to centrally store medications was observed with lock. Facility has call buttons for residents use.

Fire extinguisher was checked. Smoke detectors were tested and observed in operating condition. First aid kit inspected and observed complete with manual. Facility has flash light for emergency lighting. Hot water temperature in one of the bathrooms was tested and measured at 109.6 degrees Fahrenheit.

Complaint and Long-Term Care Ombudsman posters and Theft and Loss policy were observed posted in the prominent place in the facility.