Routine inspection·October 15, 2025

Licensing Program Analysts (LPAs) Fred Arias and Kimberly Lyman arrived unannounced for the purpose of conducting the Required 1 Year Annual Evaluation. LPAs were greeted and granted entry by staff and explained the reason for the visit. LPAs met with Senior Executive Director (SED) Bob Fiorentino, Executive Director Selene Lopez and Assistant Executive Director Maggie Pantaleon. There are two buildings, north and south, with separate entries. The South Building, 1640, is comprised of an Assisted Living (AL) and Memory Care (MC). The North Building, 1650, is comprised of an AL. All common areas in both buildings were inspected which includes but is not limited to: Fitness Centers, pool/jacuzzi, dinning area, emergency food and water storage, rec room, and activity rooms. LPAs inspected ten resident apartments which had all required elements. The residents' personal bathrooms were checked. Toilets, water faucets, and grab bars were secure. Showers were free of mold/mildew. The hot water temperature for the ten bathrooms measured within range as per regulation between 108.3 and 116.2 degrees Fahrenheit. LPAs inspected the kitchens. Facility maintains ample supply of perishables and non-perishable food. At 11:05am, LPA observed a gallon of bleach stored under the sink unlocked in the prep kitchen in the memory care area. The fire extinguishers were mounted and fully charged. The smoke detector testing passed on September 8, 2025 and September 10, 2025 per the fire alarm system inspection report conducted by VFS Fire & Security Services. LPAs toured the outside grounds. LPAs observed the courtyards which had sufficient shading and seating. The walkways were clear of hazards. The swimming pool gates were secure. LPAs observed sufficient emergency food and water in both buildings. LPAs observed residents participating in activities such as exercising, swimming, and story time. Continued on LIC809-C dated 10/15/2025 Emergency evacuation drills are conducted quarterly with the last drill conducted on September 18, 2025. LPAs observed the 'See Something, Say Something' (PUB475) poster in the correct size. Facility maintains a current liability insurance. LPAs conducted an audit of ten residents' files and ten personnel files. No discrepancies noted. Medications were audited. No discrepancies noted. Based on the observations made during today's visit, a deficiency is being cited. An exit interview was conducted and a copy of this report was provided along with appeal rights.