Facility Evaluation Report

On 12/23/2025 at 9:05 AM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Gaffar Syed, and explained the purpose of the visit.

LPA toured the facility inside and out including but not limited to residents' rooms, bathrooms, activity room, kitchen, and courtyard. There are no bodies of water observed. LPA observed lighting in all rooms is adequate for the comfort and safety of the residents. The hot water temperature in a sample of residents shared bathroom were measured at 108.3 and 107.8 degrees Fahrenheit. Residents’ shower bathroom are equipped with grab bars and non-skid shower pans.

Carbon monoxide detectors were in operating condition during visit. Fire alarm was last inspected on 10/24/2025. Hallway fire extinguisher and kitchen fire extinguisher were last serviced on 10/22/2025. Emergency Disaster Plan was last posted on 11/25/2025. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 09/28/2025.

At 10:00 AM, LPA reviewed 5 residents records. At 11:16 AM, LPA reviewed 5 staff records and 3 of 5 have current first aid training and 4 of 5 are associated with the facility. LPA reviewed a sample of resident’s medications.