Facility Evaluation Report

On 10/15/2024 at 9:45am, Licensing Program Analyst (LPA) L. Hall conducted an unannounced 1-Year required inspection. LPA met with Ma Sinelita Rivera, Caregiver , and explained the purpose of the visit. LPA spoke with Ding Wang, Administrator via telephone and received approval for caregiver to sign documents. The facility’s fire clearance was approved for five (5) non-ambulatory, and one (1) bedridden resident. Facility has a hospice waiver for two (2).

LPA toured the facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area, garage and backyard. The facility consists of eight (8) bedrooms and two (2) bathrooms. One (1) bedroom in the house and one (1) in the garage is occupied by staff. LPA did not observe any bodies of water. A comfortable temperature is maintained at 72 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 99.3 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars. There is a minimum of 7-day supply of non-perishable and 2-day of perishable foods.

Smoke detectors and carbon monoxide had beeping low battery sound. First aid kit was observed to be complete.