Facility Evaluation Report

On May 21, 2025, at 9:00 AM, Licensing Program Analyst (LPA) Kiran Jain arrived unannounced at the facility to conduct a Required 1-Year Annual inspection. LPA met with the Executive Director (ED), Li Li, and disclosed the purpose of the inspection.

The facility consisted of two buildings with three floors each. First building was a combination of two assisted living units (elite care and assisted living), and two memory care units (meadow wing and focused care). The second building was for independent living. The ED informed the LPA that the facility had 179 residents in care at the time, including 93 in Assisted Living, 38 in memory care, and 48 in Independent Living.

At 9:45 AM, LPA initiated a walk-through of the facility, accompanied by the ED.

LPA inspected randomly selected ten (10) resident rooms in Assisted Living and Memory Care units. The rooms were found to be clean, well-lit, and equipped with the required furniture. Emergency pull cords were observed to be functioning in the resident rooms with an average response time of 5 minutes. LPA inspected the private bathrooms in these random rooms. The bathrooms contained soap, grab bars, towels, a trash can, and non-slip flooring. The hot water temperature at the sink faucets measured between 114.6°F and 116.8°F. “Oxygen in Use” signs were observed posted outside the residents’ room where oxygen was administered.

LPA inspected the main kitchen and found it clean. The refrigerator, freezer, and pantry cabinets were checked, and there was a sufficient supply of fresh perishable food for two (2) days and nonperishable staples for seven (7) days. No expired food items were found. Open food items were wrapped and dated. The dining rooms in Assisted Living and Memory Care were inspected and were found to be clean, with all furniture in good repair.