Facility Evaluation Report

Licensing Program Analyst (LPA) Vaid conducted an unannounced annual inspection visit. LPA met with Jennifer Zhang, administrator and the purpose of the visit was discussed.

Today’s inspection visit, the CARE tools used, are Infection Control, Operational Requirements and Physical Plant & Environmental Safety.

Infection Control : Staff are using appropriate hand hygiene and wearing gloves while assisting clients. Staff are cleaning and disinfecting often for high touched surfaces.

Operational Requirements: Fire clearance is approved for the facility is licensed to serve for a capacity of ninety -nine (99) non-ambulatory ages 60 and above. The facility is approved for fifteen (15) hospice residents and has an approved Dementia Care Plan.

Physical Plant & Environmental Safety. The facility is in a residential neighborhood, consists of three living floors with 90 bedrooms, 86 bathrooms, 1 activities room, an administrative office, a restaurant style kitchen, three (3) laundry room, a janitor storage room, and two elevators. The facility has a gas fireplace in the activity room with a metal screen cover and is inaccessible to residents. There is a large, covered patio area, with a fishpond on the premises. There is an underground floor for staff and visitor parking.

Residents’ rooms were well furnished and in compliance. The bathrooms inspected were clean, operable, with the required grab bars and non-skid materials in the shower. Hot water temperature measured was in a range of 108.9-118.5 degrees Fahrenheit which was within Title 22 Regulation guidelines. Adequate linen and personal hygiene supplies was observed. The facility phones for residents’ use are located at the front desk and operable. Facility has central air and heating accommodations to maintain a comfortable temperature in common areas and hallways. Auditory alarm devices to monitor exits were operable at the memory care unit on first floor. Interior and exterior space is available to permit residents to wander freely and safely.

Due to time constraints the annual is incomplete, LPA will return at later date and complete facility annual.

Copy of this report was given to Administrator.

City Inspector visit to facility Wednesday 8/27/25. Pre-licensing postponed licensee unavailable until Thursday 9/4/25 at 9am. As per Jennifer Zhang-Administrator.