Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by Caregiver (S1). Administrator Kimberly Fernandez was unavailable as she was attending a corporate function out of town. LPA spoke to Admin via telephone, Admin gave permission for S1 to sign report. Facility currently has four (4) residents in care.

At approximately 9:45am LPA and S1 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 all cleaning products and laundry soaps to be stored in locked cabinets in the laundry room 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 112.8 degrees F in the bathroom used by residents, both of which are within the allowable range of 105 to 120 degrees F. Facility has another bathroom used by staff only.

Fire extinguishers were last inspected 07/27/2023. Smoke/Carbon Monoxide detectors located throughout the facility were operational. Facility’s last quarterly disaster drill was conducted on 03/05/2024. Facility has a backup generator for use during a power outage.

Administrator Kimberly Fernandez's Administrator Certificate 6046013735 expired 11/28/2023. Certificate is not showing as either pending or active in CCL database; however, Admin forwarded email confirming her renewal was received by CCL 7/19/2023. All fees are current as of this time.