Facility Evaluation Report

On March 13, 2025, at 08:45 AM, the Licensing Program Analyst (LPA) Kiran Jain arrived unannounced at the facility to conduct a Required 1-Year Annual inspection. The LPA met with the Administrator, Elma Pacursa, and disclosed the purpose of the inspection. The Administrator informed the LPA that the facility had (5) residents in care and (3) staff members present at the time. The Licensee, Helen Ng arrived shortly after.

At 9:23 AM, the LPA initiated a walk-through of the facility, accompanied by the Administrator.

LPA inspected the kitchen and found it clean, with no food preparation and cooking in progress at the time. The appliances were checked and observed to be in working order. The LPA inspected a locked cabinet containing knives and sharp objects. 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 inspected the dining area adjacent to the kitchen and found it clean. The dining table and chairs were observed to accommodate the residents, and all the furniture was in good repair. (4) residents were observed eating breakfast.

LPA inspected the fire extinguisher mounted on the wall in the kitchen and found it fully charged, with the last service tag dated 06/04/2024. The Administrator tested the smoke and carbon monoxide detector located in the hallway in the LPA's presence, and it was found to be functional. Additional smoke and carbon monoxide detectors were observed in all bedrooms and common areas of the facility during the visit.

LPA inspected the living room and observed it clean, with all furniture in good repair. There was a sofa set and a television in the living room. (1) resident was observed watching TV.