Facility Evaluation Report

Licensing Program Analyst (LPAs) Christi Coppo and Ali Deniz arrived unannounced to conduct a required Annual inspection and was greeted by receptionist. Administrator Robert Alvarado arrived later. Facility contact information was reviewed.

At approximately 9:45am LPAs toured the building and grounds. LPAs toured main kitchen and found it to be clean and organized. LPAs observed speed rack of sandwiches and salads that were not covered with plastic. LPAs and Director of Food Services (DFS) discussed getting a cover/tarp for the speed rack. LPAs 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 but many open items not covered with tight fitting lid, such as ice cream and veggie burger patties. LPAs and DFS discussed ensuring all items that are open or pre-made must be wrapped or covered with a lid. LPAs toured emergency food and water supply room, facility has supply within regulation. LPAs measured temperature of water in main kitchen to be 148 degrees F but did not have a caution hot water sign above sink; however, a caution sign was observed on ancillary sink in kitchen. LPAs and DFS discussed putting a caution sign above main sink. LPAs measured temperature of water in kitchen by Activity Director's office to be 109 degrees F, which is within the allowable range of 105 to 120 degrees F

Fire extinguishers were last inspected both on 2/12/24 and 4/10/24. Fire extinguishers last inspected 2/12/24 were charged and arrow showing in the green. Smoke/Carbon Monoxide detectors located throughout the facility are hardwired and serviced by a vendor. Director of Maintenance (DOM) explained to LPAs that a vendor came to the facility that DOM thought was the vendor that served the fire panel but DOM was mistaken and company tampered with fire panel box such that it was rendered to not working properly. Vendor that actually does service came on 2/11/25 and the Automatic Sprinkler System failed inspection. Deficiencies found were listed as: riser pressure gauges are over 5 years old and need to be replaced, four