Facility Evaluation Report

On 05/17/24, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced annual visit to the facility listed above using the full CARE inspection tool. LPA met with Administrator, Carla Chan, and the purpose of today's visit was explained. The facility is licensed to serve ambulatory and non-ambulatory elderly adults ages 60 and above. The facility is approved for (15) hospice residents.

Physical Plant/Structure The facility is a two-story structure located in a commercial neighborhood. It consists of the following: (108) resident bedrooms. Each room has a bathroom in the unit. The facility houses an activity room, dining area, kitchen, beauty shop, administrative offices, and outside patio area. There were no bodies of water or on the premises. LPA observed all walkways around the facility to be clean, clear, and free of obstructions, debris, and hazards.

Rooms LPA inspected 10 resident rooms including room numbers 133, 130,127,126, 125, 235. 241, 245, 246, and 255. LPA observed rooms to be clean and in good repair. LPA observed resident rooms have the required furniture including a bed, dresser, nightstand, chair, and storage space for resident’s personal belongings. LPA observed resident beds have the required linens including a mattress cover, blanket, comforter, and pillows. LPA observed an ample supply of linens in good condition. LPA observed rooms to have ample lighting.