Facility Evaluation Report

On 08/05/2026 at 09:30 AM, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Mandeep Kaur, Assisted Living Coordinator and Loraine Carter, Senior Resident Care Director explained the purpose of the visit.

At 10:10 AM, LPA toured the facility including but not limited to 7 residents’ units, private and shared bathrooms, multiple activity rooms, kitchen, common area, Medication Rooms, and courtyard. There are no bodies of water observed. LPA observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 73 degrees F. The hot water temperature in a residents’ shared bathroom was measured at 117 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care.

Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 08/25/2025. Emergency Disaster Plan was last posted on 08/25/2025. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 06/18/2026.

At 11:20 AM, LPA reviewed 5 residents records and 6 staff records, and all were complete. LPA also reviewed a sample of resident’s medications. The following documents were reviewed during inspection:

Resident and Staff roster, Emergency Disaster Plan, Liability Insurance and Current Administrator’s Certificate.

Exit interview conducted and a copy of this report provided.