Facility Evaluation Report

On 08/29/2025 at 12:10 PM, Licensing Program Analysts (LPAs),Ardalan Gharachorloo and David Doidge arrived unannounced to conduct a health and safety check as a result of the department receiving a complaint with the control number ( 15-AS-20250828114215 ). LPAs met with Lenie Ibe and explained the purpose for the visit.

LPAs toured facility including but not limited to the bedrooms, bathrooms, common area, kitchen, and outdoor area. Hot water temperature was measured at 94 degrees F in the hallway bathroom. 7-day of non-perishable and 2-day of perishable food supplies were sufficient. Resident's medications were kept locked in the med room. Smoke detectors and carbon monoxide detector were observed to be operational. Fire extinguisher was observed to be full and last serviced on 07/18/2025.

The following deficiencies were observed during the visit:

At 12:10 pm, LPAs measured the water temperature. The water temperature was measured at 94 degrees F.

At 12:20 PM, LPAs observed multiple windows with missing or broken screens.

At 12:22 PM, LPAs observed various construction tools such as bucket, 2 by 4s, caulking tubes a puddy knife, etc...

At 12:33 PM, LPAs observed multiple areas with debris/ trash.