Facility Evaluation Report

On 07/07/2026 at 10:25am, Licensing Program Analyst (LPA) L. Hall conducted an unannounced 1-Year required inspection. LPA met with Herminio Hernandez, Caregiver , and explained the purpose of the visit. Administrator, Ding Wang, arrived at 11:35am. Administrator holds a certificate #7021570740 expires 1/29/2028. The facility’s fire clearance was approved for six (6) non-ambulatory, of which one (1) may be a bedridden resident. Facility has a hospice waiver for two (2).

LPA toured the facility with Caregiver including but not limited to bedrooms, bathrooms, kitchen, common area, garage and backyard. The facility consists of six (6) total bedrooms two one-half (2-1/2) bathrooms. LPA observed pool in the backyard has locked gate. A comfortable temperature is maintained at 73 degrees F. 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 130.9 degrees F. Staff was doing laundry during visit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of 7-day non-perishables and 2-day perishables foods.