Facility Evaluation Report

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced case management visit and met with staff Esha Dhiman (S1). LPA observed 5 residents and 2 staff in the facility.

The purpose of today's visit is to follow up with the case management conducted on 3/13/2025.

LPA toured the facility with S1. Dish washing solution bottle was observed above the sink in the kitchen. Staff removed it and locked it immediately.

LPA checked staff files and residents files. LPA observed some documents are not maintained up to date. S1 stated Administrator (ADM) might maintain documents at his/her site. LPA talked to ADM on the phone. ADM stated he/she will send the documents to LPA via email. ADM stated some residents are already scheduled to have doctor visit.

Exit interview was conducted with S1. S1 stated he/she will make sure ADM to send updated documents to LPA. The report was provide to S1 for review and signature. A copy of the report was provided to S1.