Routine inspection·April 28, 2022

Licensing Program Analyst (LPA) Kruz Long conducted a site visit for the annual inspection. Upon arriving at the facility LPA met with Sang Heng (Administrator) and explained the purpose of the visit. The facility is licensed to serve age range 60 and over. 6 non-ambulatory of which 1 is bedridden. Hospice waiver for 3. A tour of the facility contains the following: Living room, dining area, kitchen, 3 bedrooms, 2 bathrooms and an attached garage. During today's visit, LPA observed the following: Currently the facility does not retain residents. The bathrooms are clean and operational. Clients bedrooms were checked and closet/drawer space to accommodate each resident comfortably was available. The hot water temperature was tested and measured at 118.4 degrees F in bathroom #1. The kitchen was observed for the ability to prepare and serve food. All storage areas for cleaning solutions, toxins, knives, and hazardous items are in a secured cabinet and inaccessible to residents. Smoke detectors and carbon monoxide detectors are operable and in compliance. The fire extinguisher was observed fully charged. The first-aid kit is fully stocked w/First-aid Manual. A shaded area with chairs is provided in the back yard. The backyard is free of debris/hazards and the outdoor and passageways are free of obstruction. No deficiencies were observed during today's visit. An exit interview was conducted and a copy of this report was provided to Sang Heng.