Facility Evaluation Report

Licensing Program Analysts (LPAs) Alviso and Contreras conducted a Required - 1 Year visit, on 4/2/25 at approximately 9:00am, and met with Gao Yang-Journey Director.

Facility has a required infection control plan, and a required emergency disaster plan. Hospice care waiver approved for thirteen(13) residents. Facility has an approved dementia plan of operation. Fire clearance is approved for 80 non-ambulatory residents, which includes 4 bedridden.

Per LPAs file reviews, the facility is conducting required emergency disaster drills; On 3/17/25 fire drill, 2/13/25 fire drill, and 12/9/24 fire drill/evacuation training. On 3/27/25 the staff had an elopement drill. Training drills are done to cover staff on all shifts.

LPAs reviewed ten (10) resident records. All records were complete. LPA reviewed resident (R11) medication records; LPA was provided copies of requested records. LPA obtained additional information regarding current medication orders and how medications are being provided.

The LPAs reviewed ten (10) staff records. All staff have criminal record clearance as required by regulation. LPA reviewed staff training records. All staff had required training. Staff have First Aid and CPR certification as required.

LPAs toured the facility with the Gao Yang-Journey Director, and Jose Moreno-Maintenance Director. Facility was observed to be clean, orderly, and at a comfortable temperature. LPA observed all exits free and clear from obstruction. LPA observed random fire extinguishers which were serviced and tagged as required. Common areas, hallways, and bathrooms observed by the LPA had sufficient lighting available to residents in care.