Facility Evaluation Report

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Staff #1 . During today’s visit, LPA met with Chin-Wen "Megan" Chen, Administrator (AD).

The facility is a five bedroom, one office room and three bathroom single story home with an approved fire clearance of six non-ambulatory residents of which three may be on hospice. The facility currently has a census of four residents in care with one receiving hospice services.

During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in two of two resident bathrooms, and testing auditory devices on all exits . The hot water temperature measured between 108.5 and 114.2 degrees Fahrenheit and all smoke detectors were operational . The fire extinguisher is charged and was serviced on June 27, 2025. The facility’s last fire drill was conducted on July 9, 2025 . The facility has video surveillance in common areas and all resident Admissions Agreements are signed, giving permission for use. The cameras do not have audio.

LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. Sharps and knives were secured in a locked drawer. All appliances were in working order and chemical/cleaning supplies were secured under the sink. Kitchen was clean and no odors were detected. Washer and dryer were observed in garage with additional emergency food supplies.