Facility Evaluation Report

On 4/172025, Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced for the purpose of conducting a quarterly non-compliance visit and was greeted by Lead Caregiver staff, Charity Butler. Licensee, Mantu Sandhu was on site. LPA toured the facility with Licensee to ensure compliance issues were being addressed.

POC's: Licensee is workingon clearing all POC's and requested a list of fines still outstanding.

Administrator duties/qualifications: Licensee will be working with a management company and a new administrator is lined up for the facility. S1 has their Administrator's Certificate and will submit paperwork and LIC200 by 4/24/2025.

Care and Supervision: LPA observed residents in care and found them to be clean and cared for.

Building and Grounds: The facility has general cleaning and maintenance ongoing. Carpets were recently cleaned (receipt from 4/10/25), bathrooms had soap, paper towels, and garbage cans were empty. Resident bedrooms were clean, doors were free from obstructions, trash receptacles empty. Room 1A had been re-organized, and refrigerator was cleaned and sanitary. Rug was cleaned. Additional belongings had been moved out to

Staff training requirements: Licensee has initiated using an approved on-line training system to ensure compliance for all staff trainings. Additional live trainings have also been scheduled.