Routine inspection·November 14, 2025

On 11/14/2025 at 2:00PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Executive Director, Janice Gombio and informed her the reason for the visit. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, activity rooms, kitchen, common areas, and outdoor area. Freezer’s temperature was registered at -11 degree F while the refrigerator’s temperature was recorded at 36 degrees F. Hot water temperature was measured at 105.3 degrees F in a resident bathroom. Grab bars and non-skid mats were observed in the showers and toilets. Smoke detectors were interconnected with sprinkler system. Carbon monoxide detectors were observed. Fire extinguishers were observed to be full and last serviced on 1/20/2025. First Aid kit is complete. Last disaster drill was conducted on 10/20/2025. LPA reviewed 5 residents and 4 staff files starting at 3:00PM. Residents' and staff files were complete. Staff were fingerprint cleared and associated to the facility. LPA reviewed a sample of resident's medications during inspection. No deficiencies are being cited on this date. Exit interview conducted with Janice Gombio. A copy of this report provided.