Facility Evaluation Report

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection visit today. Upon arrival, LPA cannot enter the facility, LPA called administrator (ADM) Anabelle Ablan, and ADM asked LPA to wait for 20 minutes to wait for ADM to come.

LPA met with ADM after waiting 25 minutes outside, and entered the facility. ADM stated the facility is non operational for more than two years. LPA did not see any COVID posters on the main door. LPA did see any COVID posters in facility. LPA did not see any screening station in facility.

LPA toured the facility inside out with ADM. Living room, dinning room, kitchen, family room were observed. There are 4 single bedrooms, 1 shared bedroom, and two restrooms in facility. Front yard and backyard were inspected. No resident or staff were observed in facility.

ADM stated no one lives in facility, and the facility is non operational for more than two years. LPA observed this facility is at non operational status.

LPA suggested ADM to close the facility if the facility is at non operational status.

Exit interview was conducted with ADM. This report was provided to ADM for signature.