Routine inspection·April 21, 2026

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a required annual visit at 01:37PM. An annual inspection visit was attempted on 10/24/2025 at 10AM. LPA met with staff and Administrator Eleanor Posner who arrived at 04:04PM. Entrance interview conducted. Beginning at 01:42PM, LPA, along with staff, toured the physical plant areas inside and outside to ensure there are no health and safety hazards. The following was observed: KITCHEN: LPA observed the kitchen/dining area. Knives are stored in a locked kitchen cabinet. Kitchen appliances are in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Fire extinguishers were fully charged and last serviced 11/25/2025. BEDROOMS: There are a total of three (3) shared resident bedrooms. LPA observed resident bedrooms to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. There is no staff bedroom on the premises. RESTROOMS: There are two (2) restrooms of which one (1) is attached and shared between Bedroom #2 and Bedroom #3 and one (1) is in the hallway. Restrooms were clean, sanitary, and in operating condition with grab bars and slip-resistant surfaces. Hot water temperatures were measured in restrooms and were between 105.6-115.9 degrees F, which is within the required range. COMMON AREAS: LPA observed living room and dining area to be clean and properly furnished. At 02:10PM, fire alarms/carbon monoxide detectors were tested and functioned properly. Night lights were present in the hallways and passages. All exits have functioning auditory devices. LPA observed required postings throughout the common spaces. Continued on LIC-809-C. LAUNDRY/STORAGE ROOM: Washer, dryer, and laundry supplies were observed inside the locked laundry/storage room by the kitchen, inaccessible to residents. Cleaning solutions, emergency food and water, and additional incontinent care supplies were observed in the storage area. OUTDOOR SPACE/GARAGE: LPA observed the back patio which has a covered outdoor area for resident use. Passageways were free and clear from obstruction. There is a locked and gated pool, inaccessible to residents. LPA observed the detached locked and inaccessible garage. The garage contains additional supplies, refrigerator, freezer, and laundry unit. MEDICATION REVIEW: At 02:13PM, LPA reviewed medications for two (2) residents. Medications are centrally stored in a locked filing cabinet in the living room. All medications including PRNs were labeled, stored, and locked inaccessible to residents. No errors observed during medication review. RECORD REVIEW : Beginning at 02:30PM, LPA reviewed six (6) out of six (6) resident files and four (4) personnel files for documents including but not limited to: medical records, care plans, resident Admission Agreement, TB test, health screening, staff training and fingerprint clearance. All resident and personnel files were in order. During the visit, LPA obtained copies of valid liability insurance, LIC 500, and resident roster. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today's visit, LPA reviewed the facility's infection control policy as well as the emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster plan was reviewed and updated during the visit. Emergency drills are conducted quarterly as required with the last drill conducted on 02/18/2026. No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.