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Community Advisory Committee Quarterly/Annual Visitation Report County: Orange Facility Type: Facility Name/Address: ❑Family Care Home Adorable Senior Living x❑Adult Care Home—Assisted Living 401 W Queen St, Hillsborough, NC 27278 ❑ Nursing Home Visit Date: 09/30/2025 1 Time spent in facility: 30 minutes Arrival time: 11:00 a.m. Name of person exit interview was held with: Sylvia Njoku, Med Tech Interview was held: ❑x in Person ❑ Phone Committee Members Present: Sandra Okeke Bates and Carol Kelly Report Completed by: Sandra Okeke Bates Number of Residents who received personal visits from committee members: 2 Resident Rights Information is clearly visible:Yes Ombudsman Contact Info is correct and clear) posted: Yes The most recent survey was readily accessible:N/A Staffing information clearly posted: No (Required for Nursing Homes Only) Resident •file Comments/Other Observations 1 Do the residents appear neat, clean and odor free? Residents were observed to be clean and appropriately dressed. Three out of four residents present during the visit were in Y the common area watching a TV show and awaiting lunch service. Residents shared that they receive a bath or shower each morning. 2 Did residents say they receive assistance with personal care activities?Ex. brushing their teeth, combing their hair, inserting dentures or Y cleaning their eyeglasses? 3 Did you see or hear residents being encouraged to participate in Y their care by staff members? 4 Were residents interacting with staff, other residents&visitors? Y 5 Did staff respond to or interact with residents who had difficulty Y communicating or making their needs known verbally? 6 Did you observe restraints in use? N 7 If so, did you ask staff about the facility's restraintpolicies? N/A Resident Living Accommodations Comments/Other Observations 1• Did residents describe their living environment as homelike? N/A 2. Did you notice unpleasant odors in commonly used areas? N The facility is clean, odor and clutter free. 3• Did you see items that could cause harm or be hazardous? N 4. Did residents feel their living areas were too noisy? N 5. Does the facility accommodate smokers? N Where? ❑ Outside only ❑ Inside only ❑ Both Inside/Outside 6. Were residents able to reach their call bells with ease? Y Staff monitors residents frequently 7• Did staff answer call bells in a timely&courteous manner? If no, did you share this with the administrative staff? N/A Resident • • Observations 8. Were residents asked their preferences or opinions about the Y Residents took part in a variety of activities planned for them at the facility? activities, including arts and crafts, coloring, making music, and playing with bubbles. Their artwork was displayed on their doors and in the common area. The display in the common area featured multiple colorful fish-themed crafts in bright, cheerful, and vibrant colors.