Facility Evaluation Report

On 10/23/2025 at 1:45PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Assistant Administrator, Marjorie Osia and explained the purpose of the visit. Administrator, Giselle Adams arrived 30 minutes later, but was unable to stay to sign the reports and authorized Assistant Administrator to sign licensing reports.

LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide combination detectors were observed. Fire extinguisher was observed to be full and last serviced on 7/30/2025. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 107.5 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mat in the bathrooms. There were adequate lights in each room. Resident rooms were observed to be cleaned and fully furnished. First Aid kit is complete. Last fire drill was conducted on 9/20/2025.

LPA reviewed 6 residents and 4 staff files starting at 2:15PM. Residents and staff files were complete. All staff are fingerprint cleared and associated to the facility. LPA reviewed a sample of resident's medications.

No deficiencies are being cited on this date.

Exit interview conducted with Marjorie Osia. A copy of this report provided.