Routine inspection·January 19, 2024

Licensing Program Analysts (LPAs) Steve Chang Mita Partoza conducted an unannounced annual inspection visit, and met with Administrator (ADM) Guili Xu. License, personal rights posters and Administrator Certificate were observed at the entrance. LPAs reviewed 3 residents files and 3 staff files.. LPA toured the facility inside out with ADM. Living room, kitchen, dinning room and four restrooms were inspected. Six single resident bedrooms, and laundry room 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 71 degree F, and hot water temperature was at 119 degree F in facility. Six residents (R1 - R6) and two staff (S1, S2) were interviewed. Fire extinguisher was serviced on 4/24/2023. The facility was equipped with fire alarm system, smoke and carbon monoxide detectors. Smoke detectors was tested by ADM, and were working fine. Front yard and backyard were inspected. There was no obstruction to block the walkways. Annual inspection will be continued at a later date. Exit interview was conducted with ADM. This report was provided to ADM for signature.