Facility Evaluation Report

On 11/06/2025 at 1:15 PM, Licensing Program Analyst (LPAs) Ardalan Gharachorloo and Greg Clark arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Ho Lim Fung, Administrator and explained the purpose of the visit.

LPAs toured the facility including but not limited to 5 residents’ rooms, bathrooms, activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 72 degrees F.The hot water temperature in a residents’ shared bathroom was measured at 107 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care.

Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 11/15/2024. Emergency Disaster Plan was last reviewed and posted on 12/02/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 10/28/2025.

LPAs reviewed 5 residents records and 5 staff records, and all were complete. LPAs also reviewed a sample of resident’s medications. The following documents were reviewed during the visit:LIC 500 Personnel Report

LIC 610E Emergency Disaster Plan, Liability Insurance, and current Administrator’s Certificate

No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.