Facility Evaluation Report

On July 10, 2026, Licensing Program Analyst (LPA) Eboni Bentley arrived unannounced for the purposes of conducting a required 1-Year annual visit using the CARE Inspection Tool. LPA Bentley was greeted and granted entry into the facility by staff, after stating the reason for the visit. Administrator (AD) Chin-Wen "Megan" Cheng arrived shortly to assist with the visit. Administrator Chin-Wen Cheng has an administrator certificate that expires on September 16, 2027.

The facility is licensed to operate age 60 and over for (6) non-ambulatory only residents, with a Hospice waiver for three (3). The building is a single story structure located in a residential neighborhood, which consists of the following: five (5) resident bedrooms, one (1) staff bedroom, three (3) bathrooms, living area, dining area, kitchen, an outdoor covered seating area, and an attached two car garage. The facility currently has a census of six (6) residents in care with one receiving hospice services.

LPA Bentley toured the inside and outside of the physical plant with AD Cheng. All rooms were inspected and the facility was observed to be appropriately furnished at the time of visit. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident’s personal belongings was observed. Additional linens, comforters, and bath towels were adequately stocked and available. Bathrooms were found to be clean and operational with water temperatures measured between 105 degrees F to 111.7 degrees F. The kitchen was observed clean, all appliances were operational, and there was a two-day supply of perishable and seven-day supply of non-perishable food available. Toxins, disinfectants, sharps, and medications were secured. The backyard was observed with a shaded seating area for residents and the facility has one exit gate that was operational.