Routine inspection (multi-day)·October 31, 2025

Licensing Program Analyst, (LPA) Raymond Comer, made an unannounced site visit to this facility as a continuation of the Required 1 Year Annual Inspection conducted on 10/09/2025. LPA met with Administrator, Janelle Topete, and the purpose of visit was disclosed. The following remaining inspection domains were observed, reviewed and inspected : MEDICATIONS : Medication Room is located on the third floor. Medication room is secured and inaccessible to residents. Medications for three residents were counted and Medication Records were reviewed for proper documentation and administration. First aid kits appeared as fully stocked, with first aid manual. OUTDOORS : Courtyard areas observed to have shaded patio(s), with tables with sufficient seating for the residents. Outdoor furniture observed to be in good condition. All trash cans were observed to be covered. There are no bodies of water in the facility. STAFF RECORDS: Staff files are stored in Administrator's office located on the third floor. Records are secured and inaccessible to residents. Staff files were reviewed for criminal record clearances, Health Screening, staff associated to this facility, and other required documentation. Staff records appear to be complete and current. RESIDENT RECORDS: Resident files are stored in Administrator's office located on the third floor. Records were reviewed for current IPP and/or Needs and Services plans, physician report, admission agreements, and other required documentation. Resident records appeared to be complete and current. There were no immediate health and safety hazards observed at the time of this inspection. Exit interview conducted and a copy of this report was given to the Administrator.