Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by caregiver. Janine Sorensen, back up Administrator arrived later. Administrator is Ami Kumar, Administrator Certificate 7006603740 expires 11/8/26. Facility contact information was reviewed.

At approximately 1:15pm 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. Kitchen cabinet containing cleaning supplies was locked. Kitchen drawer with sharp knives locked.

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 bathroom had required bath mats and grab bars. Water temperatures in sink accessible to residents in care measured at 117.8 degrees F in the kitchen, 115.2 degrees F in room #1, 107.9 degrees F in room #3, 111.2 degrees F in room #4 which are within the allowable range of 105 to 120 degrees F.

However, water temperatures in sink accessible to residents in care measured at 95.4 degrees F in room #2 and 96.7 degrees F in the restroom in the hallway which are not within the allowable range of 105 to 120 degrees F. Per Janine, facility only has one water heater. Admins will work with licensee to bring those two rooms up to a temperature within regulation.