Routine inspection·September 23, 2025

On 9/23/2025, LPA Yi Sam jian made an unannounced annual visit to the facility. LPA met with Administrators Charisse Li. LPA explained the purpose of the visit. LPA toured the facility including sample resident rooms, common areas & laundry rooms, bathrooms, and shower rooms. LPA observed some residents were in a common room engaging in group activity. Courtyard was fenced, secured, and in good condition. All outdoor and indoor passageway were free and clear of obstruction. No accessible bodies of water or fire safety hazards observed. Kitchen was inspected, sufficient supply of food observed. Infection control practices reviewed. Medications, toxins and sharps stored appropriately and inaccessible to clients, a comfortable temperature was maintained, hot water temperature inspected to be compliant, furnishing and lighting was sufficient for comfort and safety. Bathrooms and shower rooms are equipped with grab bars and non-skid floors. Food is served from the main hospital’s kitchen and brought to the facility in a food warmer cart. Evacuation chair in the process of being mounted in the stairwell. Emergency drills are up to date. Carbon monoxide detector and smoke detector system inspected and met the requirements. Fire extinguisher checked and fully charged. Facility has sprinklers and fire extinguishers are up to date. Licensee has at least one completed first aid kit located in the office. No deficiencies were cited. Three technical violations were noted: no documented signature for a client with limited English comprehension on the admission and personal rights form, and the evacuation chair installation is still in progress. Th e report was reviewed and discussed with Annie Jacob. A copy of the report was left at the facility.