Follow-up·October 14, 2025

Licensing Program Analyst (LPA) Vaid conducted an unannounced quarterly inspection visit. LPA met with Administrator Hardie Lin who assisted with the visit. The facility has a capacity of 120 residents. It is licensed to serve elderly residents age 60 and above, approved for 120 non-ambulatory residents of which 21 may be bedridden. The facility has five (5) Hospice Waiver for on file. Annual licensing fees are current. LPA discussed the purpose of today's visit. The facility is a two-story building with 60 resident rooms. Facility consists of Lobby/Reception Area, office, medication room, Activity Room, TV/Entertainment Room, Beauty Shop, Employee Room with lockers, laundry room, kitchen, and dining room. Medications were centrally stored. Medications room was locked and inaccessible to residents in care. Eight (8) residents’ medication records were reviewed. Hallways were clean and free of obstructions. Common areas were well organized and free of hazards. LPA inspected Resident room # 106, 110, 116, 209, 220, 229, 230 237 and 233. Resident bedrooms had furniture, lighting fixtures and personal storage space as required, mattress pads observed on all beds, the required amount of linen also observed. Bathrooms inspected were clean, operable, with the required grab bars and non-skid materials in the shower. Hot water temperature was in a range of 105-120 degrees Fahrenheit which was within Title 22 Regulation guidelines. Adequate linen and personal hygiene supplies were observed. Signal systems were tested in resident rooms, the system was operable, and staff responded to resident rooms within 6(six) minutes. Last Fire Drill was conducted on 10/06/2025. Administrator certificate is current with expiration date on 5/30/2026. CONTINUED ON 809C.......... Sufficient supply of perishable and non-perishable foods was observed. Refrigerators, freezers, microwaves, ovens and counter tops observed to be clean,cutlery and utensils for residents use. Residents are served meals in accordance to their dietary requirements. A comfortable temperature of 74 degrees Fahrenheit maintained throughout the entire facility. Smoke detectors and carbon monoxide detectors were tested and operable. Fire extinguishers were fully charged, and the last service date was 06/23/2025. Audio devices were tested and are operable. First aid kits were fully stocked with manual. All mandated documents and signages are posted in common areas. Side and front yards are well maintained and free of debris. There is shaded outdoor area with ample seating. No bodies of water observed. An exit interview was conducted. This report was discussed , signed and provided to the administrator.