Facility Evaluation Report

On September 18, 2024, Licensing Program Analysts (LPA) Kiran Jain and Komal Charitra conducted an unannounced annual inspection. LPAs met with Caregivers, May Yu and Hongyi Liang and explained the purpose of the visit. ShengXi Liu, Administartor joined shortly after.

LPAs toured the facility inside and outside including but not limited to; all of resident rooms, common areas, garage, and bathrooms. No accessible bodies of water or fire safety hazards were observed. LPAs observed 4 resident rooms; 3 of which are shared rooms and 1 private resident room. Auditory alarm on the exit door in Bedroom #4 was observed to not be working. LPAs observed a partially burnt power-strip in bedroom #4. LPAs toured bedroom #2, medication was observed to be on the table next to resident's bed. LPAs toured bedroom #3 and observed mold on the ceiling and a small light fixture that doesn't provide sufficient lighting. Bathroom observed in the main hallway was observed to have chemicals on the floor. Bathroom located in Bedroom #4 was observed to have water on the floor and the faucet observed to be in disrepair. Water temperature throughout the facility measured at 116.2 degrees F.

Exit route from bedroom #4 going outside to the patio area in the backyard was observed to be shared with the home next door. The exit route was not clear from obstruction. LPAs observed suitcases, furniture, etc blocking passageway. LPA toured kitchen and observed two day perishable and seven day non-perishables. Fridge was observed to have open containers of food and expired milk. Sharps, chemicals, and medications were observed to be unlocked and accessible to residents.

Living room and dining area were observed free from tripping hazards. A comfortable temperature is maintained and lighting is sufficient for comfort. Carbon monoxide monitor was working properly. LPAs observed a closet in the living room, right across from the kitchen to have a bed and personal belongings.

LPAs toured the garage and observed washer and dryer to be in good repair. An extra refrigerator was observed with expired milk located in the freezer. During the tour of the garage, LPAs observed an office room in the garage that was observed to be constructed. LPAs observed a monitor, desk, chair and files.