Routine inspection·June 30, 2023

Licensing Program Analyst (LPA) Steve Chang conducted an annual inspection today and met with Executive Director (ED) Aidah Tayag. LPA checked 5 residents' files and 5 staff's files. LPA toured the facility with ED. LPA inspected main entrance, lobby area, the dinning room and activity rooms. Laundry room and kitchen were observed and inspected. Visitors visiting hours posters were observed at the main entrance. Facility license, Administrator Certificate, and Personal Rights posters were observed at the main entrance. Two day perishable food supplies and seven day nonperishable food supplies were observed sufficient. Fire extinguishers were observed serviced on 6/5/2023. The facility was equipped with fire alarm system, smoke and carbon monoxide detectors. Smoke detectors were tested by ED, and were working fine. Front yard and backyard were inspected. There was no obstruction to block the walkways. Room temperature was observed at 72 degree F. Hot water temperature was observed at 105 degree F. Exit interview was conducted with ED. This report was provided to ED for signature. A copy of the report was provided to ED.