Facility Evaluation Report

On 4/4/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Khin Thida, Assistant Administrator/Manager and explained the purpose of the visit. Violet Loncar, Administrator/Licensee arrived later during the visit.

LPA Calandra toured the physical plant. This is a 2-story building with 40 bedrooms and 40 bathrooms, a kitchen, terrace, dining room, courtyard, lobby, and garage. All bedrooms had the required furniture and sufficient lighting. The facility's bathrooms had the required anti-skid floor mats and shower bars. No accessible bodies of water or hazards were observed in hallways or the backyard. The facility's fire alarms and Carbon Monoxide detector were observed to be in working order. The facility's first aid kit was observed to have all required items. The facility's hot water temperature was measured within the required 105-120 degrees Fahrenheit. The facility had the required 7 days of non perishables and 2 days of perishables on site. No food was expired. The facility was maintained at a comfortable temperature of 70 degrees Fahrenheit. The facility's fire extinguishers were last serviced on 04/11/2024.

LPA reviewed 6 staff files. All were observed to be complete.

All sharp objects, soap, detergent, and poisons, were observed to be locked and in-accessible to persons in care.

The Annual inspection will be completed at a later date.

No deficiencies were cited during today's visit.

An exit interview was conducted. This report was reviewed with Khin Thida, Assistant Administrator/Manager and a copy of the report left at the facility.