Facility Evaluation Report

On 7/20/2026, at 9: AM Licensing Program Analysts (LPAs) Reza Jamaly arrived unannounced at the facility to open a complain and conduct the required annual inspection. LPAs met administrator Corina Dragea and explained the purpose of the visit, assisted LPAs touring to the facility.

Facility is cleared for 6 non-ambulatory residents with hospice waiver for 4 residents. Administrator certificate expires on 9/2/2027.

Firstly, LPA Jamaly inspected the physical plant including but not limited to the common area, kitchen, dining area, 6 resident's bedrooms, resident bathrooms, garage and outside courtyards of the facility to ensure compliance with Title 22 regulations.

LPAs inspected the kitchen and observed a sufficient supply of at least a seven-day supply of nonperishable food and a two-day supply of perishable food. Sharp knives were secured in a locked kitchen cabinet and inaccessible to resident. LPA inspected two refrigerator and freezers, one located in kitchen and lone in garage. LPA observed a bottle of Dijon Mustard (condiment) in a refrigerator located in garage which was expired on May 2025, administrator stated that this is mine and I forgot to throw it away and took it, LPA took picture of it, Technical violation issued on LIC 809D.

LPA inspected 6 resident's bedrooms and observed bedrooms to be properly furnished with appropriate bedding and lighting.

Resident's bathrooms observed to be cleaned, grab bars and non-slip mats were observed to be secure and in good condition. The hot water temperature measured 108.1 at one of the resident bathroom sink, which is within the required range of 105°F to 120°F.