Routine inspection·September 12, 2023

On 09/12/2023 at 9:30 AM, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Mirriam Paras and explained the purpose of the visit. The facility’s fire clearance was approved for 9/06/2022. LPA toured facility with Mirriam including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 12 total bedrooms which 11 bedrooms are occupied by the residents and 3 bedroom is occupied by staff (up stair). All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 77 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 108 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 09/22/2025. Emergency Disaster Plan was last posted on 6/22/2023. First aid kit was observed to be complete. At 11:00am, LPA reviewed 6 residents records. At 12pm, LPA reviewed 5 staff records and 5 of 5 have current first aid training and associated to the facility. At 12:45pm, LPA reviewed a sample of resident’s medications. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.