Facility Evaluation Report

Licensing Program Analysts (LPA) Seo Jeon, Robert Campbell, and Jacqueline Shaw-Ross conducted an unannounced annual required visit. Upon entry, LPA was greeted by Sokhea Chap, Administrator, and informed them of the purpose of the visit. At the time of the visit, there were two (2) staff members and two (2) residents present.

Facility Overview: The facility is a two story home with six (6) bedrooms and three (3) bathrooms, including an attached garage. There are no pools or known firearms on the premises.

Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility has infection control plan in file.

Physical Plant: Floor, counter-top and sofas required removal of clutter. The outdoor area required removal of items that are not in use. A citation was issued. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked and inaccessible to residents. Both the smoke detector and carbon monoxide detector were operational, and the hot water temperature was 105°F. Fire extinguisher located at dining area is a new unit with proof of purchase dated August 2025.

Food Service: The facility’s kitchen was clean and equipped to prepare food. The facility maintained the required two-day supply of perishable foods and a seven-day supply of non-perishable foods.