Facility Evaluation Report

On 01/16/2026 at 08:00 AM, Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced annual inspection visit at the Montoak Senior Living Facility. LPA Calderon was allowed entry into the facility by Administrator Najma Shaheen. Facility is licensed to serve 12 non- ambulatory residents of which four (4) may be bedridden (room #1 and room #2 approved for bedridden) and approved for hospice waiver for six (6). None of the residents are diagnosed with dementia or receiving home health or hospice care services. Currently there are 11 residents in care. LPA Calderon explained to Administrator Najma Shaheen the purpose of the one-year Annual Inspection visit, and escorted LPA Calderon on a tour of the entire inside and outside facility grounds. As part of the inspection, LPA Calderon reviewed: Six (6) client service records, six (6) client medication records, four (4) staff records, and inspected the inside facility and outside grounds. The facilities’ last fire drill was conducted on 01/05/2026 . The one-story residential home consists of eight (8) client bedrooms, four (4) client bathrooms, living room, dining room, kitchen, staff room, office area, garage with washer and dryer/ storage area. No weapons are stored on the premises. Kitchen was inspected and observed to be clean and operational. A two-day supply perishable and seven-day supply of non-perishable foods are present in the facility. Emergency Water Storage is in the garage area.