Facility Evaluation Report

On 12/30/25 LPA Yi Sam Jian made an unannounced annual visit to the facility. LPA met with staff Joseph Sunga, and Administrator, Irene Mehta arrived later during the visit. LPA explained the purpose of the visit.

Facility is a 4 bedrooms one level house and 2 bathrooms. LPA toured the facility inside and outside including all of resident rooms, common areas & kitchen. Residents are currently resting in the bedrooms and living room.

Backyard was fenced, secured, and in good condition. All outdoor and indoor passageway were free and clear of obstruction. No accessible bodies of water or fire safety hazards observed. Kitchen was inspected, sufficient supply of food observed. Medications, toxins and sharps stored appropriately and inaccessible to clients, a comfortable temperature was maintained, hot water temperature inspected to be compliant, furnishing and lighting was sufficient for comfort and safety.

Carbon monoxide detector and smoke detector system inspected and met the requirements. fire extinguisher checked and fully charged. Facility has a written emergency disaster plan. Licensee has at least one completed first aid kit located in the living room. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed.

No deficiencies are cited at this time. Report is reviewed and a copy is provided.