Facility Evaluation Report

On April 30, 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, Guili Xu, and disclosed the purpose of the inspection. The Administrator informed the LPA that the facility had five (5) residents in care and two (2) staff members present at the time.

At 9:17 AM, the LPA initiated a walk-through of the facility, accompanied by the Administrator. The indoor temperature reading of 72°F on a thermostat was observed in the hallway at the time of the visit.

LPA inspected the kitchen and observed breakfast 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 under the sink containing detergents, disinfectants, cleaning supplies, 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. The dining table and chairs were observed to accommodate the residents, and all the furniture was in good repair. LPA inspected the fire extinguisher mounted on the wall in the dining area and found it fully charged, with the last service tag dated 05/01/2024. LPA advised the Administrator to have the fire extinguisher serviced as soon as possible for the year 2025.

At 09:28 AM, LPA inspected the garage and observed the garage cluttered with incontinence supplies, furniture, food supplies, Christmas decorations, suitcases, several wooden doors, cabinets, wheelchairs, and mattresses.