Routine inspection·April 28, 2026

On 04/28/26 at 8:25AM, Licensing Program Analyst (LPA) Gina Saucedo, arrived to conduct an unannounced, annual inspection at the facility. Upon arrival, LPA met with Receptionist, Esther Rodas and LPA disclosed the purpose of the visit Lindsay Schroeder, Executive Director arrived shortly after. LPAs asked for the census, resident, and staff files. A physical tour was conducted at 8:50AM and observed the following: The maximum capacity of the facility is 113 non-ambulatory residents. Nine (9) of these residents can be bedridden. Hospice Waiver is for seven (7) only. The facility is a five (5) story building. The first, third, fourth and fifth buildings are for assisted living and second floor is for memory care only. The first floor consists of the following: a lobby/living room area with a large television, administrative offices, mailboxes, dining area next to the kitchen area, activities room with a television, theater room with a television, game area, bistro area with snacks and enclosed outdoor patios with furniture and shaded areas. The third floor has a gym. The memory care which is the second floor has delayed egress doors, it's own medication room, laundry and detergents locked and inaccessible to the residents, the dining area and activity area are together withe a large television and it has an enclosed patio area. There are two (2) elevators. There are several stairways. The only stairway that had evacuation chairs was the fifth floor. LIC 809C-continued Random Bedrooms were randomly selected to tour and were observed to have furniture, lighting, bedding, and televisions. Random Bathrooms were observed to have grab bars and non-skid mats. Hot water temperature was tested randomly and measured 113.5–114.1 degree Fahrenheit. The rooms have sage detectors used as call buttons that alert the staff when something is wrong. Fire extinguishers were observed throughout the facility and were fully charged dated 04/2025 and July 2025. There are fire extinguishers upstairs, downstairs and in the kitchen area. Fire sprinklers and fire alarms are located throughout the facility and are operable. Facility has two (2) designated medication room that is inaccessible to residents where all the medication is stored and locked in the memory care side of the facility. One is in the memory care area-second floor and the other one (1) is on the fourth floor. The medication system is called Extended Care Professional. Common Areas: These include the dining areas, activities room, television rooms: All common areas were observed to be clean and properly furnished. Facility maintains a comfortable temperature of 70-73-degree Fahrenheit. There are several temperature thermostats throughout the facility including resident rooms. There are several common bathrooms throughout the upstairs and downstairs area. The staff and resident bathrooms are not shared. There are trash cans with lids and covid signs posted in the common bathrooms. Sufficient supplies of toilet paper and napkins observed. The facility has no body of water. There is under ground parking that is clean, free of hazards and free from obstructions. The Kitchen: area was toured, and LPA observed sufficient supply of non-perishable foods and perishable food for all residents. The kitchen area was clean at the time of the tour. The kitchen is located on the first floor. The assisted dining area has access to this kitchen, where at the time of the tour, different residents were observed having breakfast with proper feeding utensils/plates/cups. Next to the kitchen/dining room area is also a private area for residents to choose to eat alone. Against the wall of the kitchen on your is a Resident's Diet/Allergic Board and in the office area. LIC 809C-continued There are three (3) facility vehicles for resident use. Resident records/Staff records : LPA conducted a complete file review of seven (07) resident files. Staff records: LPA conducted a complete file review of six (6) staff records. There are no residents that have safeguarded cash resources at the facility. Administrative: The Insurance plan is dated as of 01/21/2027. There is an Emergency Disaster plan at the entrance of the facility towards the street, Personal Right sign, Rights of Resident Council, Licensee, Administrator Certificate and Ombudsman sign are behind the front desk on your right-side of the entrance of the facility. The liability insurance expires on 10/01/26. The last fire drill was in April 09, 2026 . Deficiencies/Citations : There are several stairways. The only stairway that had evacuation chairs was the fifth floor. There are six (6) evacuation chairs total that are needed for each floor and each stairway. An exit interview was conducted, citation(s) were issued, appeals rights and a copy of this report was given to the Lindsay Schroeder, Executive Director.