Facility Evaluation Report

On December 30, 2025 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with the administrator and explained the purpose of today's visit.

LPA toured the facility inside and out and inspected the living room, dining area, kitchen, bedrooms, bathrooms, and backyard. The indoor and outdoor passageways were free of obstruction. The facility has 3 resident rooms (2 shared and 1 private). Furniture and furnishings were observed to be sufficient. Food supplies were sufficient of 2- days perishables and 7- days of non-perishables. Toilet, hand washing and bathing areas in operating condition. Showers were observed equipped with non-skid mats and grab bars. Comfortable temperature is maintained and lighting is sufficient for comfort

Bed sheets, linens, and towels were observed to be sufficient and able to meet the needs of the residents at this time.

Central storage for medications, sharps and chemicals were observed to be locked and inaccessible to residents in care.

Hot water temperature in the kitchen and bathroom were measured at 108-114 degrees Fahrenheit. Fire extinguishers were inspected on 12/11/2025.

A review of (5) resident files was conducted and noted on the LIC 858.

A review of (1) staff files was conducted and noted on the LIC 859.

During the tour of the facility, LPA observed a storage unit in the back yard that was observed as a living space during last annual is currently being used as a storage unit. The administrator stated that they are still working with the city of San Bruno to make the unit legalize.

This report is reviewed and discussed with administrator. A copy of this report is provided.