Facility Evaluation Report

Licensing Program Analyst (LPA) J. Duarte arrived at the facility unannounced to conduct a complaint investigation. During the course of the investigation, LPA observed a deficiency. LPA conducted a Case Management to address the deficiency. LPA met with Administrator Rochelle Balaban.

During the course of the investigation of complaint 24-AS-20260127111350, LPA interviewed staff and reviewed documentation. Documentation and interviews revealed following incidents were not reported to CCLD: On 11/07/2025, a resident was trapped in an elevator due to a power outage, on 11/11/25, the elevator was stuck between the third and fourth floor, and on 11/25/25, three residents were stuck in the elevator. Administrator stated that these incidents were not reported to CCLD due to no injury or need for further evaluation or medical care.

A deficiency is being cited, please see attached LIC 809D.

A copy of this report and appeal rights was provided to Administrator.