Facility Evaluation Report

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

LPA observed 2 staff and 1 resident in the facility. The other 3 residents went to day program. LPA checked 2 resident record files and 2 staff record files.

LPA toured the facility inside and out with ADM. Facility license, Administrator Certificate, and Personal Rights posters were observed posted at the facility.

Living room, kitchen, dinning room and two restrooms were inspected. 3 shared resident bedrooms, 2 restrooms, laundry room, and garage were inspected. 1 staff room was observed in the facility. Two day perishable food supplies and seven day nonperishable food supplies were observed sufficient. Medication closet, knives closet and Dish cleaning product cabinet were observed locked. Room temperature was at 68 degree F, and hot water temperature was at 117 degree F in facility. First Aid box, flash lights were observed in the facility. The last time the facility conducted the emergency drill was on 1/17/2025.

Fire extinguisher was serviced on 03/10/2025. The facility was equipped with fire alarm system, smoke and carbon monoxide detectors. Carbon monoxide detectors were tested by staff, and were working fine. Front yard and backyard were inspected. There was no obstruction to block the walkways. One storage room was observed in the backyard.

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