Facility Evaluation Report

On 12/04/2025, Licensing Program Analyst (LPA) Jaime Vado arrived unannounced at the facility to conduct a Required 1-Year Annual inspection. The LPA met with director of operations, Michelle Ly and explained the purpose of todays visit. She requested LPA to wait for the quality improvement (QI) to arrive to conduct the full tour and inspection with LPA. LPA conducted the tour with QI personnel Julia Phillips. There are currently

This is a multi-level facility with a basement, ground floor, and second floor. The facility is licensed for adults age range of 18 and above and all must be ambulatory. LPA inspected the kitchen and it is found it clean, with no food preparation and cooking in progress at the time. The appliances were checked and observed to be in working order. The sink was empty, and no dirty dishes were observed. 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 observable expired food or stored medications were observed in the refrigerator. LPA inspected the fire extinguisher mounted on the wall in the kitchen and found it fully charged, with the last service tag dated 11/24/2025. LPA observed 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. LPA observed playing cards, board games, puzzles, and other recreational activity items for the clients in the dining area. LPA observed a locked closet in the hallway adjacent to the living room, which contained detergents, soap, and cleaning supplies. The facility is observed to be equipped with smoke detectors and carbon monoxide detectors through out the facility.