Facility Evaluation Report

On May 19, 2025, the Licensing Program Analyst (LPA) Kiran Jain arrived unannounced at the facility to conduct a Required 1-Year Annual inspection. The LPA met with the Administrator, Becky Bi, and disclosed the purpose of the inspection. The Administrator informed the LPA that the facility had (6) residents in care and (2) staff members present at the time.

At 11:04 AM, the LPA initiated a walk-through of the facility, accompanied by the Administrator.

LPA inspected the kitchen and found it clean, with lunch preparation and cooking in progress at the time. The appliances were checked and observed to be in working order. The LPA inspected a locked cabinet containing knives and sharp objects, detergents, disinfectants, and cleaning supplies. The refrigerator and pantry cabinets were inspected, and sufficient supplies of fresh perishable food for (2) days and nonperishable staples for (7) days were observed. No expired food items were noted. A locked box containing medications was observed.

LPA inspected the dining area adjacent to the kitchen and found it clean. The dining table and chairs were observed to accommodate the residents, and all the furniture was in good repair. One (1) resident was observed sitting in the dining area.

LPA inspected the living room and observed it clean, with all furniture in good repair. There were a sofa sets, coffee table, piano and a television in the living room.

LPA inspected the fire extinguisher mounted on the wall in the dining area hallway and found it fully charged, with the last service tag dated 01/21/2025.