Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced required annual inspection visit on 12/30/2025 and was greeted by Administrator Bruce Chow . LPA Ramirez explained the purpose of the visit. The facility is located on a residential street and is a single store dwelling.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

The facility has currently ZERO (0) residents. The facility is currently being occupied by the licensee as a single family home. LPA Ramirez toured the facility and observed three (3) bedrooms, two (2) bathrooms, kitchen, living room, dining room, laundry room and attached garage. LPA Ramirez did not observe sufficient bedroom furniture in all resident rooms. Bedroom#1 was observed to contain one (1) bed and one (1) mattress, tv stand, foot rest, and one (1) dresser drawer. Bedroom#2 was observed to contain one (1) bed, one (1) infant crib, changing table and foot rest. Bedroom#3 was observed to contain one (1) bed, one (1) chair, one (1) desk, two (2) night stands, and one (1) dresser drawer. LPA Ramirez observed several disinfectants and cleaning solutions in an unlocked and accessible cabinet located under kitchen sink. Facility currently does not have residents, LPA Ramirez will issue one (1) type B deficiency. Administrator Chow did not have current CPR and First Aid certificate or training. No administrator file was not available upon request. Per Administrator Chow, he is the only staff at the facility, however, his personnel record was not available for audit during today's inspection. LPA Ramirez did not observe posting . No emergency drills were recorded according to Administrator Chow. Administrator Bruce Chow has a current Administrator's Certificate with an expiration date of 10/26/2027.

Six (6) deficiencies were issued. Exit interview was conducted and a copy of this report, 809-D and appeals rights was provided.