Facility Evaluation Report

On 04/22/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and met with staff Patcharee Wolff. Licensee/ Administrator Yaninee Asawadilokchai was called and stated unable to attend meeting. Licensee authorized staff to receive and sign report. LPA toured facility with S1. All three residents were present during the inspection.

The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. Medications, knives, sharps, laundry detergent were observed locked in kitchen pantry . Residents’ MARS and Centrally Stored Medication Records were reviewed. Medications were checked. Fire extinguisher was observed with a service date of: 03/12/25. LPA observed 2-day perishable food was observed and 7 day non-perishable food was not observed. Freezer temperature maintained at -3 degree F and refrigerator temperature maintained at 37 degrees F. Extra linens were observed. Residents' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are observed with securely fastened grab bars and non-skid mat.

Hot water temperature was tested range at 114.7 degrees F in hall bathroom and 116.2 and 117.9 degrees F in master bathroom. Outside of facility toured and observed free of debris. Adequate outdoor seatings observed available for the residents. A sample of staff and all residents files were reviewed.