Facility Evaluation Report

Licensing Program Analyst (LPA) Talwinder Bains arrived on 11/19/25 to conduct the annual inspection. LPA met with administrator, Chi-Wen Hildebrandt and explained the purpose of today's visit.

During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed medications of four (4) residents comparing with physician orders and find no errors. LPA reviewed four (4) residents and two (2) staff files and found all required documents.

LPA and administrator toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, kitchen, and common areas and outside area. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. Grab bars were present at the toilet and in the shower. All exits were unobstructed. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguisher was last serviced on 04/07/25 and was ready for emergency use. Hot water temperature was observed to be 109 degrees F, which is within the regulation range of 105-120 degree. Inside temperature was 72 degree F. Facility was clean and well organized. All required postings were observed. Facility is conducting quarterly fire and disaster drill as required.

LPA requested a copy of the LIC 500, LIC610E and current liability insurance to be sent to the Department by 11/30/25.

No deficiencies were observed or cited per Title 22, CCR Regulations during this visit.

Exit interview conducted and copy of this report was provided to administrator.