Routine inspection·April 11, 2025

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection visit, and met with Administrator (ADM) Christian Valin. 4 residents and 3 staff were observed in the facility, 3 residents went out for day program. LPA reviewed 3 resident files and 3 staff files. LPA toured the facility inside out with ADM, License, ADM certificate, and personal rights posters were observed in the facility. Living room, kitchen, dinning room, 1 office and two restrooms were inspected. 1 staff live-in room, laundry room and garage were inspected. Two day perishable food supplies and seven day nonperishable food supplies were observed sufficient. Medication closet, knives closet, and cleaning product closet were observed locked. Room temperature was at 73 degree F, and hot water temperature was at 115 degree F in facility. The temperature of the refrigerator was at 40 degree F, and the temperature of the freezer was at 0 degree F. First aid box, flash lights and night lights were observed in the facility. The last time the facility conducted the emergency and fire alarm drill was 3/21/2025. Fire extinguisher was serviced on 1/20/2025. The facility was equipped with fire alarm system, smoke and carbon monoxide detectors. carbon monoxide detector was tested by ADM, and were working fine. Front yard and backyard were inspected. There was no obstruction to block the walkways. LPA observed a staff S1 working in the facility but is not associated with the facility. ADM stated he/she sent the background check record transfer for S1. Deficiencies noted today. See LIC809-D. Exit interviews conducted with ADM. The report was provided to ADM for signature. A copy of the report was provided to ADM.