Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and met with Annet Nakiyuka, Administrator.

At approximately 9:45am LPA spoke with Doug Helman, Interim CEO, via telephone to inquire as to the status of the facility's current Administrator of record, Tammy Morrato. CEO explained that Tammy Morrato was only ever intended as an interim Administrator until a permanent replacement was hired. LPA advised that the facility must give CCL at least 30 day notice whenever there is a change in Administrators. LPA advised that the required documents to process and approve the change of Administrator have not been received for Annet Nakiyuka, nor has CCL received notification that a change in Administrator was planned. Interim CEO will send required to documents to CCL as soon as possible.

At approximately 11:00am LPA and Admin toured the physical plant. The facility was found to be clean and at a comfortable temperature. Facility has two kitchens; one main kitchen currently utilized. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered and labeled. All open food items and bin pantry items were labeled with contents and date of opening. Food was found to be of quality and a wide variety of fresh fruits and vegetables were readily available. Kitchen was clean, well organized, and LPA observed kitchen staff adhering to safety and sanitation best practices. Kitchen cleaning supplies and toxins are stored away from any food storage or preparation areas. Water temperature measured at 130 degree F; caution/warning signs were present at each sink. LPA, Admin, and kitchen lead discussed adding verbiage indicating water temperature is over 125 degrees F.

Fire extinguishers were last inspected 9/25/2023. Smoke/Carbon Monoxide detectors located throughout the facility are hardwired and last serviced by Johnson Controls Fire Protection on 12/1/2023.

At approximately 2:30pm LPA conducted review of six [6] staff records. All required documentation present.