Facility Evaluation Report

On 6/30/2026, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Required 1-year Annual inspection. LPA Calandra was greeted by Wusheng Zhao, Administrator/Licensee and explained the purpose of the visit.

LPA toured the physical plant. This is a 1-story building with 7 bedrooms, 4 bathrooms, a kitchen, living room, dining room, office, garage, and front and backyards. All bedrooms had the required furniture and sufficient lighting. All bathrooms had the required grab bars and anti-skid flooring. No accessible bodies of water or hazards were observed. The facility's smoke alarms and Carbon monoxide detectors were observed to be in working order. The facility's fire extinguisher was last checked on April 27, 2026 and was observed to be fully charged. The facility's first aid kit was observed to have all of the required items. The facility had the required 7 days of non perishables and 2 days of perishables on site. No food was expired.

All sharp objects, soap, detergents, and poisons were observed to be locked and in-accessible to persons in care.

LPA reviewed 5 resident files and 4 staff files. All were observed to be complete.

During record review, LPA Calandra observed that the Licensee had no record of the 4 hours of required training on postural supports, hospice, and restricted health conditions. A Type B citation was issued for this deficiency.

A review of Centrally stored medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records kept at the facility.