Facility Evaluation Report

On 11/19/2024 at approximately 8:15 AM, Licensing Program Analysts (LPA) James Sampair arrived unannounced to conduct the Post-Licensing Inspection. Upon entry, the LPA stated the purpose of the visit to Caregiver Pat Buasuk. Administrator Administrator Dr. Nucharee (Joy) Yokdang arrived at approximately 8:30 AM.

The LPA inspected the interior and exterior of the facility, including the kitchen, dining area, restrooms, community living spaces, resident rooms, storage areas, and the grounds of the facility. More than the required minimum of 7 days of nonperishable and 2 days of perishable foods were appropriately stored.

Temperature in the dining room was measured at 73.0 and the hot water 114.3 degrees Fahrenheit at 11:21 AM. The fire extinguishers were fully charged and last replaced on 1/16/2024.

The carbon monoxide and smoke detectors were fully operational. The LPA observed postings in the facility that included a complaint poster, Ombudsman and Personal Rights posters, Theft and Loss Policy, Rights to Resident Council, and Rights to Family Council.

An administrator is on site more than the minimum of 20 hours a week to oversee the proper business operations. The LPA reviewed facility records, records of 4 residents and staff members, and records of 5 residents. The LPA interviewed 3 residents and 3 staff members.

Exit interview conducted and a copy of this report provided.