Facility Evaluation Report

Licensing Program Analyst (LPA) Jenifer Tirre visited this facility for the purpose of conducting a Pre-Licensing evaluation. Facility is a two story residential home with attached garage. LPA along with Licensee’s/ Administrators Chin Wen Cheng and Tsung Shun Yu toured facility at 1:00 PM and observed the following:

Fire clearance approval was received on 01/15/25. Structure: Facility is a two story, 2 resident bedrooms (1 private room & 1 shared room), one staff room and 2 bathroom house with attached garage. Second floor will be occupied by Licensee and no residents will reside upstairs. Living Room/ Dining Room : Adequate seating is available in the dining room and living room. Fire places have proper covers Bedrooms Residents: All Residents bedrooms are equipped with appropriate bed, lighting, chair, night stand and ample closet space. Bathrooms: All resident bathrooms have a working toilet, wash basin, and bathtub/shower as well as grab bars and non-skid surface in the shower. Linens & Hygiene Supplies: Facility has adequate supply of linens and towels. Emergency Phone Numbers and Exit Plan: Facility has Emergency Plan posted on wall. Food Service: Facility has 2 day perishables as well as 7 day non-perishables in the pantry/ refrigerator, as well as emergency food and water supply. Smoke Detectors: Smoke detectors/ carbon monoxide detector are Bluetooth wired and were tested operational. Fire extinguisher is mounted and fully charged. Facility has one extinguisher. Appliances: Gas Stove and refrigerator are operational. Toxins : LPA observed toxins secured in storage area.. Water Temperature: Tested and recorded at 111.0 degrees F. in facility bathrooms.