Routine inspection·March 14, 2025

On 03/14/25 at 08:45 AM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Yue Hui Mou and Jianyin lou Administrator (ADMs) and explained the purpose of the visit. LPA and ADMs the toured facility including, but not limited to bedrooms, bathrooms, kitchen, dining room, common area, front yard, and backyard. All outdoor and indoor passageways were free of obstruction. There were not any bodies of water observed. A comfortable temperature was maintained at 70 degrees Fahrenheit. LPA observed lighting in all rooms to be adequate for the comfort and safety of all the residents. The hot water temperature in the residents’ shared bathroom was last measured at 115 degrees Fahrenheit. Residents’ bathrooms were equipped with grab bars and non-skid mats. There was a minimum of one week supply of non-perishables and 2 days of perishable foods. Centrally stored medications and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition. Fire extinguisher was observed full. Emergency Disaster Plan was last posted on 04/10/24. First aid kit was observed to be complete. Safety drill was conducted last quarter. LPA reviewed six (6) residents records; Of four (4) staff records; three (3) staff were complete. Continued on LIC9099C... ...continued from LIC9099. The following forms are to be updated and submitted to CCLD 03/17/25: -Resident Roster -LIC500 Personnel Report -LIC308 Designation of Administrative Responsibility -LIC610 Emergency Disaster Plan (Reviewed) -An updated copy of Administrator Certificate(s) (Pending) -Liability Insurance (Reviewed, exp:11/2025) -Proof of CPR Exit interview conducted and a copy of this report provided to ADMs.