Routine inspection·December 12, 2025

Licensing Program Analyst (LPA) conducted an unannounced annual inspection visit and met with Executive Director (ED) Meghian Geul. LPA reviewed 9 resident files and 8 staff files. License, Administrator Certificate, and personal rights posters were observed in the facility. LPA toured 1st floor to 4th floor of the building and the court yard. LPA toured the offices, Lobby, activity rooms, mail area, library, bistro area, theater, dining room, kitchen, restrooms, and fitness room. Room temperature was observed at 71 degree F. The temperature of the refrigerator was observed at 40 degree F and the temperature of the freezer was observed at -3 degree. Food storage can hold the 2 days of perishable food and 7 days of non-perishable food for the entire building. Fire extinguishers were on service on 8/12/2025. The facility was equipped with smoke and carbon monoxide detectors. carbon monoxide detectors were tested, and were working fine. Hot water was observed and checked at 108 degree F. Medication Room , laundry room and chemical storage room were observed locked. LPA tested the delay opening exit door of memory care unit. The alarm sounded when the exit door was pushed. The annual fire alarm system was tested by fire department on 3/25/2025. The emergency drill for the NOC shift was conducted on 9/21/25, for the 2nd shift was conducted on 9/25/25, and for the 1st shift was conducted on 10/31/2025. LPA observed 2 functioning elevator in the facility. Evacuation chairs were found at the stairs. No deficiency noted today. Exit interview was conducted with ED. The report was provided to ED for signature. A copy of the report was provided to ED.