Facility Evaluation Report

Unannounced annual visit made out to this facility on 02/06/2025 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility staff persons, (Vannika Chay, Thuy Huynh, and Malissa Anderson), who were briefly interviewed at this time.

This LPA requested that the facility staff go ahead and contact the facility designated Administrator, Raksmey Tiano, to inform her that CCL was present at this time.

The facility designated Administrator, Raksmey Tiano, arrived later to this facility while this LPA was conducting this annual visit.

A tour of the facility was conducted alongside Thuy Huynh and Raksmey Tiano.

A tour of the kitchen was conducted. Drawers and cabinets were reviewed. Knives and other sharp instruments were properly stored in the pantry area at this time to make them inaccessible to the residents at all times.

A review of the pantry area was conducted. A review of the facility food storage units was conducted.

A review of the facility 2-day perishable and 7-day nonperishable food supply was conducted at this time.

A tour of the garage area was conducted. It was learned that this area was used to store facility designated items such as additional clothes, holiday decorations, and additional food storage units.

A review of the dining area, living area, and all other areas designated for resident use was conducted. Furniture and furnishings were observed to be sufficient and found to be in compliance at this time.

First floor resident bedroom for resident use was toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time.

Adjacent first floor resident restroom was toured. Hot water temperature was measured to make sure that it was within the allowed range of 105-120 degrees at all times.

A tour of the second floor resident bedrooms and restrooms was conducted. Furniture and furnishings were observed to sufficient and able to meet the needs of the residents at this time.

Second floor office room was toured. It was learned that this room was also used as the medication room to