Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by caregiver. Licensee Dharmisthaben Patel arrived later. Dharmisthaben Patel Administrator Certificate 7009824740 expired 1/8/27. Annual fee is due 4/20/26. Fee notification given to licensee along with PIN for online payment. Facility currently has nine (9) residents in care none of which are currently on hospice.

At approximately 9:30am 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. Food was found to be stored in a safe manner with open items covered and labeled with opened dates present. LPA observed kitchen cabinet under sink to be free of leaks. All other cleaning products and laundry soaps are located in the laundry room and are 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 105.3 degrees F in the kitchen and 105.1 in the bathroom used by residents, and 105.1 in room #5, all of which are within the allowable range of 105 to 120 degrees F.

LPA observed mops and mop buckets in main resident shower room. LPA advised that shower is not storage. Staff immediately cleared out shower room. LPA observed holes in tile outside of room #6. Holes were also in other tiles but were filled with a type of filler that fills the hole. Licensee advised LPA she will have holes in tile filled within 10 days of today's visit. LPA observed scratches on toilet bowls, brown substance was removed from toilets after wiping with a cloth. LPA and licensee discussed filling in scratches so that it doesn't trap