Facility Evaluation Report

On 05/29/2026, Licensing Program Analyst (LPA) Socorro Leandro conducted an unannounced case management visit. The purpose of this visit is to deliver deficiencies observed on 05/22/2026 during a complaint investigation visit control number 11-AS-20260519135515. LPA met with the Executive Director, Ace Huynh and the purpose of the visit was explained. LPA was granted entry to the facility.

Deficiencies observed on 05/22/2026 were as follows:

· The facility did not submit Unusual Incident/Injury Reports (UIRs) for Resident 1(R1).

o Internal Resident Incident Report dated 02/06/2025, indicated that R1 was hospitalized and not in the facility.

o Friendly Reminder letter dated 02/20/2025, stated that R1 was not complying with the facilities House Rules and/or policies and stated that R1 had until 03/20/2025 to clear out the room; the letter went on to explain that “The room is extremely cluttered. This poses a fire risk and makes it difficult for our staff to assist R1 ”; furthermore, it indicated failure to resolve will lead to the beginning of eviction proceedings.

o Internal Resident Incident Report dated 03/11/2025, described R1’s room as a fire hazard.

o Internal Resident Incident Report dated 03/22/2025, indicated that R1’s room still needs to be de-cluttered.

o Internal Resident Incident Report dated 02/17/2026, indicated that R1 went to the hospital and was diagnosed with shingles.