Routine inspection·April 28, 2026

Licensing Program Analyst (LPA), Mayra Cota, conducted an unannounced annual visit today. LPA met with Hugh He, Administrator, and the reason for the visit was explained. The facility is licensed to serve (1) bedridden and (5) non-ambulatory residents age 60 and above. Bedridden approval is granted to any room with direct exit, not to exceed (1) bedridden resident. Hospice waiver is approved for (1) resident, approval for front unit only. There are currently (4) residents living in the facility. The facility consists of the following: The property has (3) separate units. Each unit has a living room, dining area, kitchen, (2) resident bedrooms, (1) bathroom and (1) staff break room. The property also has a front and backyard and a detached garage with a laundry area and storage unit. LPA observed the following during today’s visit: The facility was observed clean inside and out. Walkways, passageways, ramps and exits are kept clear of debris and obstructions. Furniture throughout the facility kept is clean and in good repair. The kitchens were observed clean and appliances were operating properly. The facility has a sufficient 2-day perishable and 7-day perishable supply of food in each unit. Resident bedrooms have the required furniture, bedding and sufficient lighting. Bathrooms were observed clean and sanitary and the water temperature measured within compliance range of 105 – 120 degrees F. Front and backyard are kept clean. No pools or bodies of water were observed. The laundry area is kept clean, and appliances are in operating condition. The garage was observed free of clutter. ***Continues on LIC 809-C*** The homes have (3) fire extinguishers which is kept charged and operable. Interconnected smoke detectors were tested during visit and were operating properly. Carbon monoxide detectors were also tested and were working properly. The facility conducts safety drills every month. Last safety drill was conducted on 3/6/2026. Medications are centrally stored in the kitchens and were observed to be dispensed according to physician orders and documented accordingly. Four (4) resident and (4) staff files were reviewed. Staff files contain mandated documents including training certificates and criminal background clearances and associations. Resident files contain relevant documentation including bed rail physician orders for (3) residents and Home Health Care Plan for (1) resident. The facility has current liability insurance. No deficiencies noted and no citations issued today. Exit interview was conducted with Hugh He, Administrator, and a copy of this report was provided.