Facility Evaluation Report

On 5/09/2026 at approximately 10:30 AM, Licensing Program Analyst (LPA), Angelica Segovia conducted an unannounced annual visit to the facility. LPA was greeted by staff and stated the reason for their visit. The Wellness Director, Najwa Elwan arrived shortly after to assist with today’s visit.

LPA asked for the census, Staff/Resident Roster and Liability Insurance. LPA conducted a physical plant tour at approximately 02:00 PM and the following was noted:

The facility is a multi-story building. The facility has a capacity of one hundred seventy-five (175) residents. The facility is currently occupying eight-five (85) residents. The facility has an approved fire clearance for one hundred (100) ambulatory residents, seventy (70) non-ambulatory residents of which five (5) may be bedridden. Hospice waiver approved for fourteen (14).

Common areas: The common areas include such areas as: Dining room, Beauty shop, Library, Theater, Fitness room, and Activities Rooms. The common areas were observed to be neat, clean and organized. The rooms were observed to be properly furnished and in good repair. The facility maintains a comfortable temperature between 72°F-75°F. The hallways and passageways were observed to be free of obstruction. The stairways were observed to be equipped with evacuation chairs. LPA observed there to be two (2) elevators which were observed to be functional. LPA observed multiple fire extinguishers to be located throughout the facility on all levels and dated 4/16/2026.

LPA observed required postings such as Long-Term Care Ombudsman, See/Say Something and Facility’s license to be located throughout the common areas.

Office/Work Station: The Administrative offices were observed to be located on the main lobby floor. (continued on LIC 809-C)