Routine inspection·February 18, 2026

Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. At 9:30 a.m., the LPA met with staff and explained the reason for the visit. At 9:38 a.m., the Administrator Yehuda Cohen met with the LPA. RECORD REVIEW: Between 9:47 a.m. and 12:00 p.m., the LPA conducted a file review for five (5) residents and five (5) staff. Resident records were reviewed for, but not limited to: care plans, medical assessments, admissions agreement, consent forms. Resident records were in order. Five (5) personnel records were reviewed for, but not limited to: health assessments, criminal record clearances, first aid/CPR training, and training documentation. Personnel files were in order. The LPA spoke with the Administrator regarding required annual training and provided additional information. Facility fire and disaster drill was last conducted on 01/24/2026. The LPA observed documentation for the Infection Control Plan and Emergency and Disaster Plan. Administrator certificate is current and valid until 05/26/2026. During today’s visit, the LPA obtained a copy of the facility’s LIC 500, emergency disaster plan, resident roster, surety bond and liability insurance. At 12:50 p.m., the LPA along with the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards. The facility's smoke alarms are hard wired, and the facility is equipped with sprinkler system. The fire sprinkler inspection (5-Year) was completed on 02/16/2022. Annual fire alarm test was conducted on 04/21/2025 and passed. During the time of the visit, the LPA and Administrator tested carbon monoxide alarms, which functioned properly. Continued on LIC 809-C. KITCHEN: The LPA observed the kitchen and dining area. Knives are stored in the kitchen area and remain inaccessible to residents. The LPA observed sufficient seating for all residents. A waiver was granted on 02/28/2025 for the food to be prepared in the neighboring facility, Grand Valley Health Center. The LPA observed snacks and beverages being available to residents. BEDROOMS: The LPA observed five (5) randomly selected resident rooms throughout facility. Rooms were furnished with clean linens, appropriate furniture and sufficient lighting. Inside temperature was maintained at a comfortable level. RESTROOMS: The LPA observed restrooms in five (5) resident units and common area restroom. All restrooms were fully stocked with supplies. Restrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces in the bathing units. Water temperature was tested throughout the visit and measured within the required range, ranging between 113.5 and 118.4-degree F. COMMON AREAS: The LPA observed common area to be relatively clean and properly furnished. The LPA observed the fire extinguishers to be fully charged and last serviced on 09/10/2025. The LPA observed required postings on the wall near the entrance. The LPA observed cameras installed in the hallways, and at exterior of the building. The Administrator explained that the facility is going to update the cameras. Cleaning solutions, toxins, chemicals and hazardous items were inaccessible and locked away in the janitor closet. The laundry units are located inside near the Administrator’s office. OUTDOOR SPACE: The LPA observed the courtyard, which has a covered outdoor area for residents’ use. There are multiple emergency exits located throughout the facility. Passageways were free and clear from obstruction. There were no bodies of water noted. The LPA observed a locked shed in the courtyard area. Additionally, there is a detached building used for storage containing a supply of emergency water, food, Personal Protection Equipment (PPE), first aid kits and other emergency supplies. Starting at 1:07 p.m., the LPA conducted a review of medication and medication documentation with staff for four (4) residents and observed that medications were properly documented and assisted with as prescribed. Medications and first aid kits are located in a locked medication room. No deficiencies cited. Exit interview conducted. A copy of the report was provided.