Routine inspection·July 18, 2025

Licensing Program Analyst (LPA) Amy Rodgers, made an unannounced visit to conduct the required One-Year Inspection. LPA Rodgers were granted entry into the facility by Administrator Brandon Cho after herself and stating the purpose of the inspection. The facility serves 150 elderly residents, age 60 and above, all whom may be non-ambulatory. Approved for ten (10) may be bedridden. LPA was accompanied by licensee staff for a tour of the facility, which was conducted inside and out and included a sample of resident units, the dining area, recreation rooms and large patio area. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. Exterior and interior passageways were free from obstructions. Pull cords are present and easily assessable to residents. Resident and facility room temperatures were within a comfortable range. Client bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra linens and hygiene supplies were present. Facility has a two-day supply of perishable and a seven-day supply of nonperishable food items. Food supply is replenished frequently by outside vendors. Food was observed to be properly stored and labeled. Food menus and activities schedule were posted. Chemicals and cleaning supplies were stored in a locked closet. The medication carts were locked and medications were labeled and kept in compliance with label instructions. LPA reviewed multiple staff and client records/files. LPA interviewed multiple staff and clients. LPA conducted a review of In-service training procedures. The staff and client files which LPA reviewed contained required documents. Confidential records were stored in locked areas. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Administrator Cho, to whom a copy of this report was provided during the visit.