Facility Evaluation Report

On 12/16/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Jeon Tulagan, Caregiver and explained the purpose of the visit. Lei "Becky" Bi, House Manager arrived later during the visit.

LPA toured the physical plant. This is a 1-story building with 9 bedrooms(6 bedrooms for residents and 3 for staff), 7 bathrooms(5 for residents and 2 for staff), a back and front yard, living room, dining room, kitchen, garage, and office. All bedrooms had the required furniture and sufficient lighting. The facility's bathrooms had anti-slip flooring and grab bars. No accessible bodies of water or hazards were observed. The facility's fire alarms and carbon monoxide detectors were observed to be in working order. The facility's fire extinguisher was observed to be fully charged and last checked on 01/21/2025. The facility had the required 7 days of non perishables and 2 days of perishables on site. No food was expired. The facility's first aid kit had the required items.

LPA reviewed 5 resident files and 6 staff files. All were observed to be complete.

During the visit, LPA obtained copies of the following documents: Current Liability Insurance. LPA requested Current LIC 500 and Administrator certificate be sent to the Department by 12/23/2025.

During file review, LPA observed no staff training records for 2025. A Type B citation was provided for this deficiency.

During file review, LPA also did not see notes regarding date and time of each contact with the physician, and the physician's directions, which shall be documented and maintained in the resident's facility record.