Routine inspection·September 5, 2025

Licensing Program Analyst (LPA) Maria (Mita) Partoza, conducted and unannounced Required 1-year inspection. LPA was met by Shay Arias Community Business Director and Beth Jennings - Life Guidance Director. Administrator Kris Waluszko was not present due to prior commitment at the time of the visit. The facility serves adults age 60 and over, 134 non-ambulatory, and delayed egress and hospice waiver for 13. LPA toured the interior of the facility, including entryway, common room, dining room, kitchen and food storage, laundry room, resident bedrooms, bathrooms, medicine room, and activities room, Assisted Living and Memory Care area of the facility. All emergency exits are clear from obstruction. Facility has activities scheduled posted for the whole month. LPA observed residents participating during activity time. The water temperature measured from 105 to 120 degree F. Memory Care exits are equipped with delayed egress and working audible alarms. The kitchen is equipped with commercial grade refrigerator and freezer and doors to the kitchen have locks when not in used and are not accessible to residents. The facility has emergency drinking water supply, 2 days of perishable food and 7 days for non-perishable food. The facility has snack bars in the activity areas. The facility is equipped with fire alarm and carbon monoxide alarm system that alerts the fire department. The residents room have sufficient and ample storage for the assisted living. Rooms in the assisted living were observed to be sanitary and organized. page 1 of 2 see LIC 809-C The facility has fire and disaster drill training that was administered on 7/17/2025. Fire extinguishers strategically placed in each floor and the kitchen. The facility is equipped with smoke alarm and water sprinklers. The fire extinguishers were consistently checked and maintained. The medication room is locked are accessed by authorized employees, the room is not accessible to residents and unauthorized staff. Medications records are updated, reports are made in a timely manner. Residents were observed engaging in activities in the game room, some are outside walking and resting outdoor by the courtyard and some of the residents joined the group for an outing. The memory care unit has 2 residents that were tested positive for Covid 19, LPA was not able to tour the Memory Care Area of the facility. LPA reviewed 5 resident records and 5 staff record. LPA was able to verify that 5 Out of 5 Resident records are complete and updated. 5 Out of 5 staff record, have current First Aid/CPR certificates and have are background and fingerprint cleared by the Department. Staff training were updated according to their current positions. LPA requested the following for updated information: Admission Agreement, Dementia Care Plan, Liability Insurance, LIC 500 (personnel report), LIC 400, Surety Bond and LIC 308 and submitted to LPA by 09/09/2025. No deficiency was cited during today's annual required visit. An exit interview was conducted with Life Guidance Director (LGD) Beth Jennings and a copy of the report was provided. Page 2 of 2 End of Report