Facility Evaluation Report

On 3/24/2026 at approximately 09:45 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 Administrator, Penda Hodges along with the Operational Specialist, Latanya Jules assisted with today’s visit.

LPA asked for the census, Staff/Resident Roster and Liability Insurance. LPA conducted a physical plant tour at approximately 01:00 PM and the following was noted:

The facility is a two-story building with an Assisted Living unit located on both floors and a Memory Care unit located on the first floor. The facility is currently occupying ninety-four (94) residents. The facility has an approved fire clearance for one hundred fifteen (115) Ambulatory/non-ambulatory and/or bedridden residents. Hospice waiver approved for twenty (20).

Common areas: The common areas were observed to be neat, clean and organized. Such included are: Dining room, Activity room, Theater/Chapel, Mail room and Beauty Parlor. The rooms were observed to be properly furnished and in good repair. The facility maintains a comfortable temperature at 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. The fireplace was observed to be covered and inaccessible to residents. LPA observed multiple fire extinguishers to be located throughout the facility on both floors and dated 2/03/2026.

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 near the main entrance, near the front desk. (continued on LIC 809-C)