Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by caregiver. Administrator Martha Marimbi arrived later. Administrator certificate number 7018478740 expires 3/21/27. Facility currently has six (6) residents in care, none of which are currently on hospice.

At approximately 9:45am LPA toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Most food was found to be stored in a safe manner with open items covered, but not labeled with opened date. Boxes of pancake mix and a box of soup were found to be expired as of 2024. Bags of cereal found open and unsealed. Single serving cups of yogurt found open and not properly sealed. LPA and Admin discussed food storage and maintaining proper seals once food is opened. Drawer containing sharps accessible to residents in care, drawer had locking function but lock broken. LPA observed kitchen cabinet under sink to contain disinfectants and cleaning supplies accessible to residents in care, cabinet did not have a locking function present ( deficiency cited, see 809D ) All other cleaning products and laundry soaps are locked in a closet outside and inaccessible to residents in care.

All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms were clean and in good repair. Extra hygiene products and linens were available. Resident bathrooms had required bath mats and grab bars. Water temperature in sinks measured at 110.9 degrees F in the kitchen, 112.9 degrees F in the cottage, 109.7 degrees F in the main bathroom, and 111.2 degrees F in room #2, all of which are