Routine inspection·October 16, 2025

Licensing Program Analyst Nadia Shahbazian arrived at the facility at 10:00AM today to conduct a One (1) year Required visit. LPA met with Angela Smith-Executive Director/Administrator and explained the purpose of this visit. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools during today's visit. A tour of the physical plant was conducted between 12:30AM through 2:45PM with Executive Director and LPA observed the following: The facility is licensed to serve (130) elderly adults ages 60 and above, of which (100) can be non-ambulatory and (30) Bedridden. The facility has an approved hospice waiver for (12). Current census is (81) with (4) residents on hospice care. The facility is an eight story building consisting of the following: the administrative offices, main dining room, living room, main laundry room, medication room, staff room, commercial kitchen, activity room, common bathrooms, 2 patios and lobby, located on the first floor. The second floor is fire cleared for the Memory Care Unit which is equipped with a delayed egress system. Floors 3 through 8 house assisted living residents. Required postings were observed in the lobby and throughout the facility. The facility's smoke/mono-oxide detectors are hard wired, facility is equipped with fire sprinkler system. Fire drill was last conducted on October 03, 2025. There are fire extinguishers throughout the facility hallways on all floors; all extinguishers were last serviced on July 14, 2025. Continued on 809-C Bedrooms: LPA visited ten (10) random rooms from each floor. All bedrooms were observed to be appropriately furnished with required beds, chairs, chest drawers and lighting with linens and comforters on all beds. All bedrooms observed to be clean and clear from obstruction. In two (2) bedrooms LPA pulled the signal pull cord and in each occasion, staff came for assistance within 4-6 minutes. Bathroom: There are common bathrooms on multiple levels. LPA visited ten (10) bathrooms located in the bedrooms. LPA observed foldable shower chair, non-skid mats and grab bars in the showers and near the toilets. The water temperature measured in range of 106.9 to 113.5 degrees Fahrenheit. All resident bathrooms and common area bathrooms were observed to be clean and sanitary. Kitchen: Facility’s kitchen door was observed to be locked and inaccessible to residents. Facility has a walk-in refrigerator, freezer, commercial oven, ice maker, ice-cream freezer and dishwasher. LPAs observed an adequate supply of perishable foods for two (2) days, and non-perishable food supply for seven (7) days stored in the walk-in refrigerator and walk-in freezer. Food was properly labeled and stored. Emergency food is kept in a separate locked area, in a parking storage. Knives and sharp utensils are stored in the kitchen; inaccessible to residents. Detergents and chemicals are locked in a storage room outside of the kitchen. Laundry Room: Facility has a commercial laundry room for kitchen use, located on the first floor. There are laundry rooms in fifth and sixth floors, designated for washing resident clothes. Common areas: These areas include a gym, theater, hair salon on the 8-th floor. There is a library on the sixth floor, an internet lounge on the fourth floor, a doctor's lounge on the seventh floor. There is a piano lounge/living room on the first floor and activity rooms on various floors. LPA observed two (2) outdoor patio areas, one located outside the lobby, the second behind the Private Dining Room by the kitchen and a bistro near the kitchen for daily snacks. All common areas were appropriately furnished with tables and chairs and adequate lighting and all areas were observed to be neat and clean. The facility has a fire sprinkler system, internet, cable and wi-fi access. Facility does not have a pool but has water fountains located in the patio. Due to time constraints LPA was unable to complete today's annual visit and will return on a later date to complete the annual report. Exit interview conducted, and a copy of report issued.