Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by caregiver. Administrator Edward Alicdan Jr was present and also came out to greet LPA.

LPA toured the building and grounds. The facility was found to be 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. Top kitchen drawer on right side of dishwasher had pre-poured medications ( deficiency cited, see 809D ).

All bedrooms were equipped with lighting, night stand, and chest of drawers. Extra hygiene products and linens were available. Water heater closet has rodent droppings present, rodent dropping also observed by LPA and caregiver outside in the garage on the same side as the refrigerator; additionally, an insulin syringe was found on the floor in the garage (deficiency cited see 809D) . Resident bathroom had required bath mat and grab bar. Water temperature in sinks accessible to residents in care measured at 108.4 degrees F in hall bath and 109.2 degrees F in kitchen which is within the allowable range of 105 to 120 degrees F.

Fire extinguishers were last inspected 6/27/25. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Facility’s last quarterly disaster drill was conducted 12/22/25. Facility has a backup generator for use during a power outage.