Routine inspection·January 15, 2026

On 01/15/2026 at 09:36AM, Licensing Program Analyst (LPA) T. Syess-Gibson arrived unannounced to continue the 1-Year Annual Required inspection visit. LPA met with Executive Director (ED), Scott Shahade, and explained the purpose of the visit. The facility’s fire clearance was approved for 190 non-ambulatory and 10 bedridden residents. Facility has hospice waiver for 20 residents. LPA toured the facility with Administrator including but not limited to apartments, bathrooms, kitchen, common area and outside. LPA toured apartments #2, #9, #24, #137, #238, and #241. All outdoor and indoor passageways are kept free of obstruction. LPAs did not observe any bodies of water. A comfortable temperature is maintained at 72 degrees Fahrenheit. LPA observed lighting in all rooms is adequate for the comfort and safety of the residents. The hot water temperature in the resident’s shared bathroom was measured at 119.6 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-slip shower mats. There is a minimum of 7-day supply of non-perishable and 2-day of perishable foods. Facility has food deliveries weekly on Tuesdays and Fridays. Continue on LIC809C….. Continued from LIC809 Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 03/13/2025. Emergency disaster plan last updated 01/06/2026. First aid kit was observed to be complete. Fire drill was last conducted on 12/31/2025. LPA reviewed ten (10) staff records, ten (10) resident’s record and they were complete. LPA requested the following documents to be submitted to CCLD by 01/22/2026 . LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance No deficiencies cited during visit. Exit interview conducted. A copy of the appeal rights and the report provided .