Facility Evaluation Report

On this day, May 15, 2025, at 2:30 pm, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA was granted entry by staff, Alahna Dade. LPA met with Doreen Khan, administrator (ADM) and informed the purpose of visit.

LPA toured the facility inside out with ADM. LPA inspected the kitchen, dining area, living room. bedrooms, bathrooms, garage, front yard and backyard. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications was observed locked.

Facility has 2 in 1 carbon monoxide and smoke detector that was tested, and observed functional. Facility conducts fire and earthquake drills at least every quarter and records showed last conducted April 2, 2025. . Fire extinguisher checked, observed fully charge and receipt showed purchased May 17, 2024. Hot water temperature in the common bathroom was tested and measured at 107 degrees Fahrenheit.

LPA reviewed 5 staff and 4 residents records. Medications were checked and compared with doctor's orders and LIC622 Centrally Stored Medication and Destruction Records. P&Is were checked and compared with last recorded balance.