Facility Evaluation Report

On 4-24-2025 Licensing Program Analyst (LPA) Seo Jeon made an announced visit to the facility for the purpose of conducting a pre-licensing inspection. LPA met with Alyssa Hoang, Administrator, who accompanied LPA for the inspection. The Applicant has submitted an application for (6) residents (6 non-ambulatory and no bedridden). On 3-24-2025, the Riverside County Fire Department approved a fire clearance for which the applicant has applied for.

The home is a single story structure consisting of (4) bedrooms, (2) bathrooms, kitchen, formal dining room,, garage, backyard with a covered patio, and fenced pool with locked gate. The facility is utilizing video surveillance on the common areas of the home. The bedrooms were observed to have bed, lighting, night-stand, chest of drawers and area for sitting. The bathrooms had nonskid surface, and grab bars. There is plenty of extra linen (sheets, blankets, towels) that were observed to be in good repair. The smoke and carbon monoxide detectors were tested and found to be operable.

The hot water temperature was tested and was found to be within regulatory limits measuring at 110 degrees Fahrenheit. The facility is equipped with flashlights, and night lights. The facility has an emergency disaster plan, and infection control plan on file. The facility has a sufficient supply of dishes, cooking and eating utensils, that were observed to be in good repair. The facility food supply was observed to be sufficient as there were 2-day supply of perishable and a 7-day supply of nonperishable food items. The facility has an emergency food and water supply. There is a fully stocked first aid kit with manual.