Facility Evaluation Report

On 3/23/2023 starting 10:10 AM, Licensing Program Analysts (LPAs) L. Francisco and L. Fici arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Administrator, Yanlin "Cynthia" Huang and explained the purpose of the visit. The facility’s fire clearance was approved for all six (6) non-ambulatory residents of which 1 may be bedridden. There were 2 staff and 5 residents present during inspection.

Starting at 10:25 AM, LPAs toured facility with Administrator including but not limited to bedrooms, 2 bathrooms, kitchen, common area and backyard. The facility consists of 7 total bedrooms which 6 bedrooms are for residents and 1 bedroom is for staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 68 degrees Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in residents’ shared bathroom was measured at 141 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Sharps were locked and inaccessible to residents.

Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was observed fully charged. First aid kit was observed to be complete.

Starting at 11:30 AM, LPAs reviewed 4 of 5 residents records. At 12:30 PM, LPAs reviewed 1 of 3 staff records. At 4:00 PM, LPAs reviewed a sample of resident’s medications.