Facility Evaluation Report

At 11:03am on 03/05/2026, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct the facility annual inspection. LPA met with Licensee Eric So Hu, and announced who he is 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 7 bedroom, 3 bathroom with kitchen, living and dining room. There is a large center patio with a awning that provided shade for residents and visitors. Five of the bedrooms are single occupancy resident rooms, the other bedroom is for live-in staff. 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 had working smoke detectors and were 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 and a 72 hours supply of water in the garage.. LPA tested facility water temperature and noted that it was within regulation parameters of 105*-120 (f). LAP did not observe any violations or citations during the cursory walk through tour of the facility.

Licensee and LPA conducted the annual care tool modules of the annual inspection tool. LPA noted that no violations, or citations were discovered as a result of this annual inspection. LPA noted that no violations or citations issued during the review of the care tool modules. at this time there are no citations or violations as are result of the facilities. annual inspection at this time.

Exit interview, report read, and report provided.