Facility Evaluation Report

On April 16, 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.

Administrator provided a toured of the facility and grounds of this 3 bedrooms (3 upstairs- 2 for residents and 1 for staff) with 2 full bathrooms upstairs and 1 downstairs. Common areas--living/dining room, family room, kitchen, laundry room, sun room and 2 car garage. The ground level, including office room and full bathroom.

LPA observed resident rooms were spacious and included all required furnishings. Three full bathrooms were observed to be clean; equipped with paper towels, soap, and non-skid mats.

LPA observed medications, toxins and sharps were locked and inaccessible to residents in care. 2 days for perishables and & 7 days non-perishable were observed to be present.

The indoor and outdoor passageways were free of obstruction. Facility was overall clean and odor-free. Comfortable temperature is maintained and lighting is sufficient for comfort.

Facility is equipped with smoke detectors and carbon monoxide detectors. Fire drill records were reviewed.

During today's inspection, there are no residents present as both of them are attending the day program.

A review of (2) resident files was conducted and noted on the LIC 858.

A review of (3) staff files was conducted and noted on the LIC 859.

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