Facility Evaluation Report

On 02/18/2026, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced Required 1-Year Annual inspection. LPA met with the caregiver Merlita initially, then the licensee, James Wang. LPA explained the purpose of today's visit. There are 3 staff persons present, including the licensee/administrator and 3 residents.

This facility is licensed for ages 60 and over. One bedridden resident is allowed in room 4 and 5 non-ambulatory. Hospice waiver for 4 residents. No residents on hospice as of today's inspection. There are 6 bedrooms and 4 bathrooms designated for residents' use. All resident rooms are single occupancy. LPA inspected all 6 resident rooms and found them clean, appropriate lighting, and equipped with the required furniture as outlined in Titel 22. LPA inspected 2 full bathrooms and found them clean, sanitary, and in good working condition. The bathrooms contained soap, grab bars, paper towels, a trash can with lid, and non-skid mats. The hot water temperature is measured at 116F. LPA inspected the kitchen and found it clean and fully operational appliances. LPA observed a locked cabinet containing knives and sharp objects, and a locked cabinet under the sink with detergents and cleaning supplies. Medication closet is located near the kitchen as well and is observed to be locked and in order. The refrigerator and pantry cabinets are inspected. Sufficient supplies of fresh perishable food for 2 days and nonperishable supplies for 7 days are observed. Fire extinguisher is observed in the kitchen adjacent to the kitchen sink. Inspection tag is observed as inspected on 09/29/2025. Combination carbon monoxide and smoke detectors are observed in place and tested as functional.