Facility Evaluation Report

At 8:15am on 03/05/2026, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct the annual, facility inspection. LPA met with Licensee Eric So Hu, and announced who he was and the reason for the visit. Licensee and LPA reviewed facility clearance roster and confirmed all staff working were on the facility roster and all cleared.

Licensee and LPA conducted a cursory tour of the facility. This facility is a seven bedroom, 4 bathroom with kitchen, two living rooms and dining room. The 7th bedroom is for live-in staff in the center of the facility. LPA observed that all bath rooms were stocked with liquid soap and paper towels. LPA observed at least a 30 day supply of incontinence supplies and more than 30 day supply of PPE located in the garage. LPA observed each resident room and all rooms are in compliance with regulation standards with appropriate bedding, lighting, drawers and storage. LPA noted that each room had its own exit and all exits were free and clear of obstructions and hazards. LPA noted that each room and hallway had smoke detectors and were functioning properly, additionally there is a carbon monoxide detector located in the hallway that was tested and functioning properly. LPA observed a fire extinguisher that was charged in the green. LPA observed at least 2 days of perishable and at least 7 days of non-perishable foods. LPA tested facility water temperature and noted that it was within regulation parameters of 105*-120(f). LAP noted that bathroom #2 requires repair to the bathtub drain and dry wall behind the commode, a citation was issued (87303(a)). LPA conducted file reviews of staff and resident files, centrally stored medication records (CSMR) Medication Administrator Records (CSMR) and conducted a sample medication audit. LPA reviewed Liability Insurance, Emergency Disaster Plan and Infection Control Plan. All documentation and audit presented no regulation issues. Licensee and LPA conducted a full review of the annual care tools. There was one citation as a result of this annual inspection. No other violations or citations were noted during the full annual inspection.

Exit interview, report singed, appeal rights and report provided.