Routine inspection·December 2, 2024

Licensing Program Analyst (LPA) Alyssa Ramirez, made an unannounced visit to conduct the required One-Year Inspection. LPA was granted entry into the facility by Licensee Helen Qian, after identifying herself and stating the purpose of the inspection. Facility serves elderly residents ages 60 and above; approved for thirty-eight (38) bedridden residents and approved hospice waiver for fifteen (15) residents. The facility is also approved for a secured perimeter with no water feature on the premise. Facilities current census is thirty-one (31). LPA was accompanied by staff during a tour of the facility. A tour of the facility was conducted which included a sample of resident units, the dining area, recreation rooms, and food storage areas. Signal systems are in place and operational. PPE supplies are on-site. Passageways were free from obstructions. Resident rooms were equipped with required furnishings. Hot water temperature accessible to clients were compliant. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) and first aid kit (s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. Facility has sufficient food supply. Centrally stored medications were properly stored and locked in cabinets. LPA reviewed staff and resident files. Files were complete and secured in a locked area. An exit interview was conducted with Licensee Qian, to whom copies of this report, and the Licensee/Appeal Rights (LIC9058 03/22) were provided at the conclusion of the visit. Their signature on this form acknowledges receipt and a copy of the report was given to Licensee Qian.