Routine inspection·May 9, 2026

On 5/09/2026 at approximately 10:30 AM, Licensing Program Analyst (LPA), Angelica Segovia conducted an unannounced annual visit to the facility. LPA was greeted by staff and stated the reason for their visit. The Wellness Director, Najwa Elwan arrived shortly after to assist with today’s visit. LPA asked for the census, Staff/Resident Roster and Liability Insurance. LPA conducted a physical plant tour at approximately 02:00 PM and the following was noted: The facility is a multi-story building. The facility has a capacity of one hundred seventy-five (175) residents. The facility is currently occupying eight-five (85) residents. The facility has an approved fire clearance for one hundred (100) ambulatory residents, seventy (70) non-ambulatory residents of which five (5) may be bedridden. Hospice waiver approved for fourteen (14). Common areas: The common areas include such areas as: Dining room, Beauty shop, Library, Theater, Fitness room, and Activities Rooms. The common areas were observed to be neat, clean and organized. The rooms were observed to be properly furnished and in good repair. The facility maintains a comfortable temperature between 72°F-75°F. The hallways and passageways were observed to be free of obstruction. The stairways were observed to be equipped with evacuation chairs. LPA observed there to be two (2) elevators which were observed to be functional. LPA observed multiple fire extinguishers to be located throughout the facility on all levels and dated 4/16/2026. LPA observed required postings such as Long-Term Care Ombudsman, See/Say Something and Facility’s license to be located throughout the common areas. Office/Work Station: The Administrative offices were observed to be located on the main lobby floor. (continued on LIC 809-C) Kitchen: The kitchen was observed to be clean and free from pests. The kitchen was observed to be a commercial kitchen with a variety of commercial-grade appliances and fixtures such as but not limited to: high-capacity gas ranges, convection ovens, fryers and stainless-steel prep tables. LPA observed the kitchen appliances to be working and in proper condition. Sufficient supplies of seven (7) day nonperishable foods and two (2) day perishable foods were observed. Outside: LPA observed there to be a variety of courtyards equipped with sufficient seating and shaded areas for residents to use. There is no body of water located at the facility. Laundry Room: LPA observed there to be a commercial laundry room. Laundry detergents, cleaning agents and other toxins are locked away. Bathrooms: LPA observed a variety of public restrooms located throughout the facility. The bathrooms within the residents’ rooms were checked for cleanliness and proper operation. LPA observed appropriate grab rails and slip-resistant mats to be in proper condition. The hot water temperature was measured at a range of 116.4°F-118.6°F. Bedrooms: The Residents' rooms are adequately furnished with appropriate furniture and lighting system. Hallways/passageways are lighted appropriately. Medication Room: LPA observed the medication room to be located on the first floor. LPA observed the medications to be properly stored within locked medication carts and inaccessible to residents. The medication usage was observed to be recorded and stored properly. LPA along with a care staff conducted a review of the medication to ensure compliance. First-aid kit was observed. Smoke detectors and carbon monoxide: The facility was last inspected for maintenance and operational use of their automatic sprinkler system on 03/01/2026. The facility is scheduled for inspection of maintenance and operational use of all fire alarms on 5/13/2026. The last Fire Drill was conducted on 04/01/2026. Residents/Staff Records: LPA conducted a complete file review of ten (10) resident records. Resident records appeared to be complete and updated. Staff records: LPA conducted a complete file review of seven (7) staff records. Staff records appeared to be complete and updated. There were no immediate health and safety hazards observed during the day of inspection. Exit interview was conducted and a copy of this report was provided to the Wellness Director.