Facility Evaluation Report

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection visit, and met with Administrator (ADM) Emmanuel Fernando.

LPA toured the facility inside and out with HM. 3 staff and 3 residents were observed in the facility.

LPA reviewed 2 resident files and 2 staff files.

Licensee, and personal right posters were observed in the facility. ADM showed the documents that he/she renewed the Administrator Certificate. Living room, office, kitchen, dinning room, and two restrooms were inspected. Three single resident bedrooms, garage, and laundry room were inspected. Two day perishable food supplies and seven day nonperishable food supplies were observed sufficient. Medication closet, knives closet, and cleaning product closet were observed locked. Room temperature was at 71 degree F, and hot water temperature was at 105 degree F in facility. The temperature of the refrigerator was at 40 degree F, and the temperature of the freezer was at 0 degree F. Flash lights, night lights, and first aid box were observed in the facility.

Fire extinguisher was serviced on 06/28/2024. The facility was equipped with fire alarm system, smoke and carbon monoxide detectors. carbon monoxide detectors were tested by staff. The smoke detectors were working fine. Front yard and backyard were inspected. There was no obstruction to block the walkways.

The last time the facility conducted the emergency and fire drill is 3/3/2025.

No citation noted today. Exit interview was conducted with ADM. This report was provided to ADM for signature. A copy of the report was provided to ADM.