Facility Evaluation Report

On 09/16/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. LPA was greeted by Administrator Wendy Lee and granted entry into the facility. LPA introduced self and stated the purpose of the visit. LPA conducted tour with A1. All 22 residents were present during inspection.

The facility was observed to be at a comfortable temperature. The facility was observed clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside.

Kitchen was toured. An adequate supply of perishable and non-perishable food was observed. Dishwasher was observed operational during inspection.

Medications observed kept locked in medication cart in the facility office. MARs were reviewed and medications were checked. Cleaning solutions observed stored and locked under kitchen sink and under staff bathroom sink. Refrigerator temperature was maintained at 38 degrees F and freezer temperature was maintained at 0 degrees F. Sharps observed locked in kitchen drawer. Fire extinguishers were observed throughout the facility with a service date of 05/05/25.

All bedrooms were observed to have required furnishings with adequate lighting and at comfortable temperature.

Bathrooms were properly equipped. Bathrooms hot water temperature was tested at 112.8 degrees F in room 11, 110.4 degrees F in room 10, and 112.6 degrees F in room 8. LPA observed chemicals stored and locked in the laundry room and shed 1.