Routine inspection·July 10, 2024

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection visit and met with Administrator (ADM) Ronnie Ubungen. LPA observed 6 residents and 2 staff in the facility. LPA reviewed 3 resident files and 3 staff files. LPA toured the facility inside out with ADM. License, Personal Rights posters, and Administrator Certificate were observed in the facility. Living room, dining room, kitchen, 3 shared resident bedrooms, 1 staff room, 2 restrooms, garage, and laundry room were inspected. Two day perishable food supplies and seven day nonperishable food supplies were observed sufficient. Room temperature was observed at 72 degree F. Hot water temperature was observed at 116 degree F. Refrigerator temperature was observed at 40 degree F. Freezer temperature was observed at 0 degree F. all the bedrooms were observed with window screens. Bathrooms were observed with nonskid floor. Fire extinguisher was serviced on 05/21/2024. The facility was equipped with fire alarm system, smoke and carbon monoxide detectors. Smoke detectors was tested by ADM, and were working fine. Medications closet was observed locked. Knives closet and detergent closet were observed locked. Flash lights, first aid box and night lights were observed in the facility. Front yard and backyard were inspected. There was no obstruction to block the walkways. The last time the facility conducted the emergency frill is 4/24/2024. No deficiency noted today. Exit interview was conducted with ADM. The report was provided to ADM for signature. A copy of the report was provided to ADM.