Facility Evaluation Report

On 7/01/2026 at 11:30AM, Licensing Program Analyst (LPA) Carol Fowler conducted an unannounced 1-Year Required inspection. LPA met with Hugo Chavez, Caregiver and explained the purpose of the visit. Fei Kevin Li, Administrator arrived at 12:50pm. The Administrator currently holds a certificate (#7035708740) that expires on 07/26/2026. The facility’s fire clearance was approved for six (6) non-ambulatory residents.

LPA toured the facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area, garage and backyard. The facility consists of six (6) total bedrooms, which one (1) bedroom is occupied by staff, and two (2) bathrooms. No bodies of water observed. A comfortable temperature is maintained at 71 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 120 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 02/19/2026. Emergency Disaster Plan was last posted on 03/19/2026. First aid kit was observed to be complete.

LPA reviewed three (3) staff files and three (3) resident files which were all complete .