Routine inspection·October 28, 2024

Licensing Program Analyst (LPA) conducted an unannounced annual inspection visit and met with Administrator (ADM) Bani Kaur. LPA inspected 3 staff files and 3 residents files. LPA toured the facility with ADM. Personal rights poster, Licensee, Administrator Certificate were observed at the main entrance. 3 shared resident bedrooms, two restrooms, and laundry room were inspected. Two day perishable food supplies and seven day nonperishable food supplies were observed sufficient. Medication closet, knives closet were observed locked. Room temperature was at 70 degree F, and hot water temperature was at 112 degree F in facility. 2 staff and 5 residents were observed in the facility. 3 staff rooms, one restroom, and 1 storage room were observed on the second floor. One of the staff S1 was observed without health screening record. ADM stated S1 has the health screen form. ADM stated he/she will provide a copy of it later. Fire extinguisher was serviced on 09/9/2024. The facility was equipped with fire alarm system, smoke and carbon monoxide detectors. Smoke detectors was tested by ADM, and were working fine. First aid box and flash lights were observed in the facility. The last time the facility conducted the emergency drill is 5/1/2024. Front yard and backyard were inspected. There was no obstruction to block the walkways. Exit interview was conducted with ADM. The report was provided to ADM for signature.