Facility Evaluation Report

On August 04, 2025, the Licensing Program Analyst (LPA) Kiran Jain arrived unannounced at the facility to conduct a Post Licensing inspection. The LPA met with the Licensee, Ying Wang, and disclosed the purpose of the inspection. The Licensee informed the LPA that the facility had four (4) residents in care and one (1) additional staff member present at the time.

LPA initiated a walk-through of the facility, accompanied by the Licensee. The indoor temperature reading of 68°F on a thermostat was observed in the hallway at the time of the visit.

LPA inspected the kitchen and observed lunch preparation and cooking in progress at the time. The appliances were checked and observed to be in working order. The LPA inspected a magnetic locked cabinet containing knives and sharp objects. LPA inspected another magnetic locked cabinet under the sink with detergents, disinfectants, and cleaning supplies. The refrigerator and pantry cabinets were inspected, and sufficient supplies of fresh perishable food for (2) days and nonperishable staples for (7) days were observed. No expired food or stored medications were noted. LPA observed the refrigerator temperature at 37°F and freezer temperature at 0°F.

LPA inspected the dining area adjacent to the kitchen. The dining table and chairs were observed to accommodate the residents, and all the furniture was in good repair. LPA inspected the living room and observed a sofa set, chairs, a fireplace, and a television in the living room. One (1) resident was observed sitting in the living room watching TV.

LPA observed three (3) hallway closets, one linen closet with bedsheets, blankets, and towels, second closet containing incontinent supplies, and the third closet with toiletries.