Facility Evaluation Report

On 12/16/25 Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to conduct a 1 year required inspection. LPA was greeted and granted entry by live in caregiver Sakhone Sengvilay, the administrator Maly Raymundo arrived shortly after and accompanied LPA throughout today's inspection. There are no waivers or exceptions on file for the facility. LPA verified contact information for the facility and will update the land line accordingly. A file review was conducted and the facility annual fees have been paid, and the governing body was observed to be in good standing. Below are the observations made during today's visit:

The facility is utilizing video surveillance in the common areas of the interior as well as the exterior areas of the facility. The facility was observed to have the required postings: CCL complaint poster, license and emergency disaster plan. LPA observed for the facility to possess signed acknowledgment forms The facility was observed to be clean and clutter free. The food supply was observed to be adequate, with a 2 day supply of perishable and a 7 day supply of nonperishable food items. The facility was observed to have fully charged fire extinguishers with the tag in tact, and were last serviced on 08/20/25. The emergency disaster drills are being conducted on a monthly basis, with the last drill being conducted on 11/01/25. There are no guns, ammunition or bodies of water on the premises. The smoke and carbon monoxide detectors were tested and found to be operable. The sharps, chemicals and medications were observed to be locked and inaccessible to clients in care. The hot water temperature was tested and measured to be 113 degrees Fahrenheit.

The client bedrooms were observed to have the required furniture (chair, bed, lamp). A file review was