Facility Evaluation Report

On April 23, 2026, Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA was met with the administrator, Ana and LPA explained the purpose of the visit.

LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. LPA toured inside and outside including all of resident rooms, common areas, and kitchen area. The indoor and outdoor passageways were free of obstruction. Comfortable temperature is maintained and lighting is sufficient for comfort.

This is a two story facility. On the 1st floor, there are 10 resident private rooms with their own bathrooms, one common bath/shower room, dining/activity room, and linen room. On the 2nd floor, there are 14 resident rooms(shared and private rooms), 5 shower/bathrooms in the hallways, staff lounge, and housekeeping room.

LPA observed the bathrooms and showers are equipped with paper towels, soap, grab bars, and non-skid mats. Hot water temperature in the common shower room/bathroom and resident's room was measured at 123- 125 degrees F. 2 days for perishables and & 7 days non-perishable food were observed to be present.

Facility is equipped with call system in the resident rooms, resident bathrooms, common shower rooms and common bathrooms. Fire extinguishers were last inspected on 3/24/2026, Fire drill records were reviewed to be adequate.

A review of (5) facility resident records was conducted.

A review of (3) facility staff records was conducted.