Routine inspection·April 13, 2026

On April 13, 2026, Licensing Program Analysts (LPA) Eboni Bentley arrived at the facility unannounced for the purpose of conducting the Required 1 Year Annual evaluation. LPA was greeted and granted entry by staff after stating the purpose of the visit. The Executive Director Peggy Ulland was out on vacation. Health Services Director Hanofi Edogiawerie was present and assisted with the inspection. The facility has a resident census of 148 residents in care. The facility is a two-story building, with a memory care wing on the first floor. In the middle of the building is a courtyard, for Assisted Living, with shaded patio seating and a fountain. Memory Care unit has a garden courtyard of its own in the back of the building, that is secured. The delayed egress doors around memory care were tested and found to be operational. A sample of fifteen resident records were reviewed during the visit. Background clearance and association to the facility was verified for staff members on the roster. Interviews were conducted with residents and staff. LPA toured the physical plant with Maintenance Director Matt Yem and inspected a total of seventeen resident apartments. All rooms contained the required furnishings, and bathrooms were found to be operational, with grab bars secured in place. The hot water temperature measured between 116.8 and 118.6 degrees Fahrenheit in fifteen bathrooms used by residents in care. All common areas were inspected including the kitchen, dining, and courtyards. There were ample supply of clean towels and linens. Toxins, disinfectants, sharps, and medications were secured and inaccessible. The interior and exterior portion of the facility were observed clean. The outdoor passageways were free of obstruction with sufficient seating and shading. CONTINUE LIC809-C.... First aid kit is maintained and contains all the necessary elements. The smoke/carbon monoxide detectors were tested last on April 10, 2026 per Maintenance Director and proof of service will be submitted to LPA by April 24, 2026. Evacuation chairs were observed at each stairwell. The facility has several fire extinguishers that were charged throughout the facility, all last serviced on or around May 5, 2025. LPA observed insufficient amount of emergency food and water for 148 residents and additional for staff on duty. Due to insufficient time, a deficiency will be cited during the continuation annual visit. Background clearance and association to the facility was verified for staff members on the roster. Interviews were conducted with residents and staff. Based on the observations made during today's visit, no deficiencies are being cited, however a continuation visit is needed and additional records will be requested. An exit interview was conducted and a copy of this report was provided to Health Services Director, Hanofi Edogiawerie