Facility Evaluation Report

On 11/25/2025, Licensing Program Analyst (LPA) Arielle Pascua arrived unnanounced to this facility to conduct an annual visit. LPA Pascua met with Staff Member (SM) Yasmin Wahid., and explained the purpose of the visit. LPA Pascua asked SM Wahid to contact the Facility Designated Administrator (FDA), Latifa Awa to inform her that CCL was present. LPA Pascua was able to speak with Facility Designated Representative (FDR), Adham Awa stating that he and FDA Awa were on their way to the facility. There was a housekeeper present at the facility, Fawzia Azizi . Shortly after, LPA was greeted by FDA and FDR.

This facility is licensed to accept 6 elderly residents of whom 1 may be non-ambulatory, and 1 may be bedridden. This facility also has a dementia plan on file and a hospice waive for 3.

LPA Pascua reviewed 4 resident files. All resident files were incomplete.

LPA Pascua observed through the Licensing Information System, (LIS), that 3 staff members were not associated to the facility at this time. LPA Pascua reviewed 4 resident files. The facility designated administrator has an active administrator certificate #7022761740 and expires on 09/24/2026.

One fire extinguisher was placed in the kitchen and was purchased with a receipt dated.

The facility will have a centralized screening point supplied with hand sanitizer and masks located by the entrance and exits.

All rooms designated as activity areas and common areas for resident use were toured. Furniture and furnishings were observed to be present and sufficient to meet the needs of the residents at this time.

Office rooms and other areas intended for resident use were toured.