Facility Evaluation Report

On 07/11/2025, LIcensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct an annual inspection. LPA was allowed entry by carestaff. Administrator was off site but arrived within 5 minutes. There were 25 residents and 4 care staff, 1 medication technician, housekeeping and dietary.

LPA toured the facility and found it to be clean and in good repair. The bedrooms were furnished within regulation, including a bed, chair, night stand, lighting and storage. Each bedroom has an attached bathroom including grab bars and non-skid mats, soap and paper towels. The facility includes a large great room where dining, activities and socialization occur. The fireplace in the corner of the room is screened. The medication room is locked and secured at all times. The kitchen was clean and sanitary and well-organized. The refrigerator and freezer were clean and proper temperature. Food was appropriately stored and dated. There was an ample supply of perishable and non-perishable food, as well as emergency supplies and water. The grounds of the facility were well-kept with plenty of shaded area seating available for residents use, fenced and secured. Five fire extinguishers were last inspected on 04/22/25 and fully charged. The last fire drill was held on 06/05/25. Fire department inspected facility on 06/03/2025 and found no violations. Activities program was observed with Bingo, music therapy, and chair exercise taking place during visit.

LPA did a review of 4 personnel and 5 resident files and found them to be complete.

LPA requested an updated LIC-500 and proof of Liability Insurance.