Routine inspection (multi-day)·November 6, 2025

Today, Thursday, 11/06/25, at 10:15 am, Licensing Program Analyst, (LPA) Raymond Comer, arrived to conduct a continuation of the required annual facility Inspection initiated on Monday,11/03/2025. LPA met with Administrator, Joseph Wieder, and the purpose of visit was disclosed. The following remaining inspection domains were observed, reviewed and inspected : FIRE SAFETY: Fire safety system is present in the facility. Multiple dual smoke/carbon monoxide alarms are installed, hardwired, and interconnected throughout the Facility. Fire alarm was tested and works properly. Fire extinguishers were observed throughout the facility on all floors; last serviced on December 23, 2024 . Evacuation chair was observed atop the second floor stairwell. Roof access is inaccessible to residents. Evacuation routes are clearly labelled and posted throughout the facility. Fire drill last conducted September 30, 2025. MEDICATIONS: Medication room is located on second floor. LPA observed room as secured and inaccessible to residents. Inside the room, medications are properly labeled and stored in secured cabinets. Medication documentation and distribution records appear to be complete. First aid kits were observed on carts stored in the medication room. LAUNDRY: LPA observed the laundry rooms located on sub floor level. Laundry area is clean. Detergents, cleaning supplies, and other toxins, are inaccessible to residents. [LIC 809C] Continued- STAFF RECORDS : Records are stored in the Administrator’s office, which was observed as locked and inaccessible to residents. A total of five (5) staff files were reviewed for current IPP and/or Needs and Services plans, physician report, admission agreements, and all relevant documentation. Staff records appeared to be complete and current. There were no health and safety hazards observed at the time of this inspection. Exit interview conducted and a copy of this report was provided to the Administrator.