Routine inspection·February 18, 2026

On 02/18/2026, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced Required 1-Year Annual inspection. LPA met with the caregiver Merlita initially, then the licensee, James Wang. LPA explained the purpose of today's visit. There are 3 staff persons present, including the licensee/administrator and 3 residents. This facility is licensed for ages 60 and over. One bedridden resident is allowed in room 4 and 5 non-ambulatory. Hospice waiver for 4 residents. No residents on hospice as of today's inspection. There are 6 bedrooms and 4 bathrooms designated for residents' use. All resident rooms are single occupancy. LPA inspected all 6 resident rooms and found them clean, appropriate lighting, and equipped with the required furniture as outlined in Titel 22. LPA inspected 2 full bathrooms and found them clean, sanitary, and in good working condition. The bathrooms contained soap, grab bars, paper towels, a trash can with lid, and non-skid mats. The hot water temperature is measured at 116F. LPA inspected the kitchen and found it clean and fully operational appliances. LPA observed a locked cabinet containing knives and sharp objects, and a locked cabinet under the sink with detergents and cleaning supplies. Medication closet is located near the kitchen as well and is observed to be locked and in order. The refrigerator and pantry cabinets are inspected. Sufficient supplies of fresh perishable food for 2 days and nonperishable supplies for 7 days are observed. Fire extinguisher is observed in the kitchen adjacent to the kitchen sink. Inspection tag is observed as inspected on 09/29/2025. Combination carbon monoxide and smoke detectors are observed in place and tested as functional. Continued on following page. Page 2 LPA inspected the garage and found it clean and organized. Facility washer and dryer is in place and both are functional. Incontinence supplies are stored in the garage as well as a staff refrigerator. The emergency exit routes are observed as free and clear of any obstructions on both sides of the facility. The backyard area patio, ramps, and walkways are observed as clear and in good repair. Shed is observed as being used for storage reasons only. First aid kit is present and equipped with the required items. Last disaster drill, which is a fire drill, was conducted on 01/05/2026. LPA reviewed 3 staff files and 5 resident file during today's visit. Based on file review, all files are observed to be current for both residents and staff. Medications are observed to logged and current per observations made. No updated documents requested as per the licensee there has been no changes to staff. All administrator certificates are still current and were provided to previous LPA. And designated responsible staff is the same as last year. No deficiencies were cited during today's visit. Report is reviewed with the licensee and a copy is provided on this day.