Facility Evaluation Report

On 1/30/2025 at 10:00am, Licensing Program Analyst (LPA) L. Hall conducted an unannounced Case Management visit regarding an text message that was sent to LPA on 1/14/2025. LPA met with Rosalita Constantino, Caregiver and explained the purpose of the visit. LPA spoke with Administrator, Ding Wang, via telephone.

The text message was from Administrator, and stated there were only three (3) residents and one (1) staff in the day and at night. LPA arrived to find there were four (4) residents and one (1) caregiver.

LPA L. Hall requested the after-summary visits for R1 and R2 to be sent to CCLD by 2/1/2025.

At 10:20am, LPA observed the facility did not have a sufficient quantity of towels for residents. LPA observed beds missing top sheet, mattress pads, and bedspread.

At 10:35am, LPA observed shared bathroom did not have a slip-resistant mat.

At 11:15am, LPA observed during record review that R1 and R1 was hospitalized and CCLD was not notified.