Facility Evaluation Report

On May 23, 2025, at 8:00am, Licensing Program Analyst (LPA) Eboni Bentley conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Bentley was greeted and granted entry by Caregiver (CG) Allen Jao. Administrator (AD) Kevin Dinh was contacted via telephone and arrived at the facility a short time later. AD Kevin Dinh has an administrator certificate with an expiration date of 10/15/2025.

The facility is a single level structure, licensed for six (6) non-ambulatory residents of which on may be bedridden and a hospice waiver for six (6) residents. The home consists of the following: Four (4) resident bedrooms, three (3) bathrooms, living room area, dining area, kitchen, outdoor covered patio seating area, and an attached two car garage.

During the visit, LPA Bentley toured the interior and exterior of the physical plant with CG Jao and AD Dinh and the following was observed: There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were available, lighting was provided, and storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be clean and operational. The water temperatures in three bathrooms measured 109.7 degrees F to 114.6 degrees F. A comfortable temperature of 73 degrees F was maintained throughout the facility.