Facility Evaluation Report

On 01/21/2026 at 10:30 AM, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to conduct 1-Year Annual Required inspection. Exeuctive Director Patrick McElroy arrived at 11:25 AM. LPA met with Executive Director, Patrick Mcelroy and explained the purpose of the visit.

LPA toured the facility including but not limited to 6 residents’ apartments, bathrooms, multiple activity rooms, kitchen, common area 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 bathroom was measured at 115.6 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 01/20/2026. Emergency Disaster Plan was last reviewed and posted on 01/23/2025. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 01/15/2026 .

LPA reviewed 5 residents records and 5 staff records, and all were complete. LPA also reviewed a sample of resident’s medications. The following documents were reviewed during the visit. LIC 500 Personnel Report

LIC 610E Emergency Disaster Plan, Liability Insurance, and Current Administrator’s Certificate.

No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.