Facility Evaluation Report

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation using the CARE Inspection Tool. LPA was greeted and granted entry by Caregiver Catherine Ranando and explained the reason for the visit. Administrator (Admin) Joiey Ong arrived shortly after. LPA observed two caregivers on duty providing care to six residents of which one is under hospice care. The Administrator's Certificate expires June 18, 2026 for Administrator Joiey Ong. All staff were fingerprint cleared and associated at the time of the visit.

The following was observed during the inspection:

This is a single story structure located in a residential neighborhood. Facility operates within the conditions and limitations specified on the license. There are six private resident bedrooms, six resident bathrooms, and one private staff bedroom. All common areas were inspected including the attached two car garage. The residents' bedrooms were appropriately furnished. Beds and bedding supplies were in good condition, adequate lighting was provided, sufficient storage space for each residents' personal belongings were observed. Hospital bed and bed rail orders were present for five out of five residents. Bathrooms were found to be in compliance, clean, and operational. The hot water temperature measured at 110.6, 109.5, 105.1, 106.1, 106.5, and 107.4 degrees Fahrenheit in the resident bathrooms. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed sufficient two-day supply of perishables and seven-day supply of non-perishable food. The kitchen pantry appeared unorganized. LPA toured the exterior portion of the facility. LPA observed the outdoor passageway is free of obstruction. The exit gates were operational and there were sufficient seating and shading. The fire extinguisher was mounted, charged, and purchased 8/11/25. The auditory devices and smoke/carbon monoxide detectors were tested and operational.