Facility Evaluation Report

Licensing Program Analyst(LPA) arrived to conduct a required- 1 Year annual Inspection, on 7/27/26, and was greeted by Xiaohong Wang, Administrator and Xiangzhong Fan, Administrator back-up.

Facility has fire clearance approval for five (5) ambulatory clients. There are currently two (2) residents in care; The clients are attending day program services.

The LPA reviewed two resident files, including medication records. Administrator will ensure to obtain clarification regarding the new medical assessment on C2, dated 7/14/2026. All client files were complete. All medications were centrally stored as required.

The LPA reviewed four (4) staff files. All staff have criminal record clearance as required. LPA reviewed staff training. All staff have required first aid certification and CPR certification. Staff files were complete.

The LPA toured the facility. There was a sufficient supply of food. LPA observed a sufficient supply of hygiene products, cleaners/disinfectants, paper products, linens, furnishings, and personal protective equipment (PPE). All exits were free and clear of obstruction. Fire extinguishers (4) were serviced and tagged as required. The backyard was free and clear of obstructions in all pathways. The large covered wooden deck was clean and had a table and chairs for clients use. The backyard fire exit gate opened freely as required. Administrator is working on the wooden plank/board walkway replacing any old worn wood. Will submit photos to the LPA when complete. All cleaners/disinfectants and tools, items that may be a risk to residents in care, were locked up and inaccessible during the LPA's inspection. Facility had a first aid kit as required. All medications were locked and inaccessible to residents in care. Hot water was measured at 108.5 degrees Fahrenheit.