Facility Evaluation Report

On this day, May 3, 2023, at 12:00 noon, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA was granted entry by staff, Joji Anabella 'Anabelle' Estavillo. LPA met with Billy Leung, administrator, and Ricky Ng, assistant administrator, and informed the reason for visit.

The facility has 3 buildings. LPA inspected the facility inside and out including but not limited to bedrooms, bathrooms, laundry and shower rooms, kitchen, dining and living areas, front, side and backyard. Facility has sufficient perishable and non-perishable foods. Fire extinguishers were observed fully charge with tags showed serviced January 24, 2023. Facility has carbon monoxide and smoke detectors that were tested and observed functional. Hot water temperature in one of the common bathrooms in the front building was tested and measured at 105 degrees Fahrenheit. Facility conducts disaster drills, and records showed last conducted January 20, 2023.

LPA reviewed 5 residents and 5 staff files, and interviewed 3 residents and 3 staff. Medications were checked and compared with records. Residents' cash resources checked.

-at 12:22 pm, unlocked cabinet in the laundry room where cleaning supplies are kept

-at 2:00 pm, broken recliner, umbrella frame and shower chair in the backyard

-at 3:00 pm, resident (R1) LIC622 Centrally Stored Medication and Administration Record not properly completed; date filled does not match date filled on the label of the medication, and quantity received not recorded.