Facility Evaluation Report

On 01/28/2026 at 12:00 PM, Licensing Program Analysts (LPAs) L. Alexander and A. Christy arrived unannounced to conduct a Case Management visit. LPAs met with L aly Bascao, Co-Administrator , and explained the purpose of the visit. Laly phoned the Licensee/Administrator, Ding Wang, to inform.

While LPAs was conducting a complaint investigation, 15-AS-20250106161139, during file review and touring the facility LPAs observed the following deficiencies:

1/2 bed rails on Resident's (R) R2, R3, R5 and R6 without doctors orders for mobility/postural support.

Prescription medication powder unlocked and sitting on night stand in R4's bedroom. LPAs interviewed S2 that stated caregivers apply powder medication to R4. During file review there were no doctor's order for medication

Screened door, 3 (three) window frames, paint can, 2 (two) bags of compound cement mix, garbage bag on side of shed, strollers, infant car seat and other garbage located behind shed in backyard

LPA's observed missing home health care plan for R1's foley catheter in file.