Facility Evaluation Report

On January 29, 2026, Licensing Program Analyst (LPA) Murial Han conduct an unannounced annual inspection. LPA met with administrator and explained the purpose of today's visit.

The administrator provided a tour of the facility and grounds. No accessible bodies of water or fire safety hazards observed. This is single story facility with 4 resident bedrooms, and administrator/staff room . The facility observed to clean, tidy and in good repair. Bedrooms were equipped with the required furniture for residents to use and extra linen was observed.

Chemicals, and toxins were locked and inaccessible to residents in care.

Sharps and one lighter were observed to be unlocked. Medications are stored in the medication room and it was observed to be opened at times and unlocked.

Centrally stored medication records were reviewed and adequate.

2 days of perishables and 7 days of nonperishable foods were observed for the residents.

Facility is equipped with smoke detectors and carbon monoxide detectors. Emergency/ Fire drill records reviewed. Fire extinguishes were last inspected on 1/30/2025.

Hot water temperature through-out the facility was measured above 157 degrees F.