Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Kabariti arrived unannounced to conduct the facility's required 1 - year annual inspection. LPA met with Administrator, Matthew Miao.

LPA toured the facility with designated ADM to include the office rooms, hallways, living room, medication room, kitchen, dining room, laundry room, resident bedrooms, bathrooms, and exterior. All fire exit routes are free and clear of obstruction. During visit, at least 3 staff members were observed on duty.

Facility's temperature maintained at 71 degrees F. Smoke detectors and carbon monoxide detectors are dual and observed present. Fire extinguisher last serviced on 02/21/2025. Fireplace observed screened and blocked in the living room area. Kitchen supplied with at least 2 days worth of perishables and 7 days worth of non-perishable foods. Chemicals, disinfectants, and sharp objects observed locked. Refrigerator temperature maintained at 35 degrees F and freezer temperature maintained at 0 degrees F. Laundry room that contained chemicals, disinfectants, and sharp objects observed locked.

LPA observed as basket full of bread (about 5 plastic packages of bread) stored inside the laundry room which supplies laundry appliances, laundry detergents, chemicals and disinfectants. The smell of the laundry detergents/chemicals was very strong. LPA observed the breads were best by 09/21/2025. LPA did not observe any mold on the bread. PAGE 1 OF 3.