Routine inspection·November 5, 2025

At 10:00 AM, Licensing Program Analyst (LPA), Huma Rahimi conducted an unannounced Required Annual visit to the above facility and met with Alina Solloway, Licensee/Administrator, and explained the reason for the visit. Today's site visit consisted of LPA touring the physical plant inside and outside and observed the following: KITCHEN: LPA observed the kitchen area equipped with a refrigerator, microwave oven, and a sink. Stove was observed in a good working condition. At 10:05 AM, LPA observed adequate supplies of perishable and nonperishable food and dining ware to accommodate a maximum capacity of six (6). All knives and sharps are observed to be locked in a kitchen drawer and inaccessible to residents in care. LPA observed a Fire Extinguisher and was last serviced on 10/01/2025. It was observed hanging on the kitchen wall. MEDICATION ROOM: The centrally stored medication are kept in the in the locked cabinet in the living room. Residents and staff files are also kept in the same cabinet locked and inaccessible. LPA reviewed medication for accuracy and did not observe any discrepancies. BEDROOMS: There are three (3) bedrooms designated for resident’s use. All bedrooms are shared and bedrooms number one (1) is for bedridden resident. All bedrooms are furnished with beds, dressers and required bedding and linen. The bedrooms have sufficient closet space and have sufficient lighting. Auditory alarms were tested and observed to be operational. Continue on LIC 809C BATHROOMS: There are two (2) bathrooms at the facility. Bathroom # (1) is connected with bedroom #1. Bathroom # 2 is in the hallway. L PA observed all bathrooms are clean and in good repair. Properly supplied with toilet papers, soap and paper towels. LPA observed appropriate grab bar and had non-skid mat The water temperature was noted at 108.1°. LAUNDRY ROOM: The laundry room is located in the hallway closet. All the cleaning supplies and laundry detergents will be kept locked in the kitchen cabinet under the sink. All cleaning supplies and laundry detergents are kept inaccessible to residents in care. The washer/dryer appear to be in good working condition. COMMON AREAS: The facility maintains a comfortable temperature at 75°F. The living room and dining area appeared clean and were properly furnished and has a television. No obstructions and or tripping hazards throughout the facility. LPA observed a working telephone for the facility. SURROUNDING GROUNDS: The facility has sufficient front yard space. LPA did observe appropriate outdoor furniture in the side yard of the facility that can accommodate six (6) residents, LPA observe a covered shaded area for residents. LPA observed inside and outside activities for residents in care. There is no swimming pool or any bodies of water at the facility. The exit was free of any obstruction or hazard. Garage/Storage: The facility does not have any extra garage/storage space. LPA observed a locked alley in the back of the facility. SMOKE DETECTORS/CARBON MONOXIDE. Smoke detectors and carbon monoxide were located throughout the facility. At 10:25 AM, they were tested and observed to be operational. Between 10:30 AM to 11:30 AM, LPA reviewed records of two (2) out of two (2) residents and one (1) staff. All residents and staff records were updated and completed. Administrative: LPA collected Certificate of Liability Insurance, and LIC500. No deficiency observed and issued during today's visit. Exit interview conducted. Copy of this report signed and delivered.