Facility Evaluation Report

Licensing Program Analyst (LPAs) Christi Coppo and Ethel Contreras arrived unannounced to conduct a required Annual inspection and was greeted by Administrator Raymond Dichoso.

At approximately 1:00pm LPAs and Admin toured the building and grounds. The facility was found to be clean and at a comfortable temperature. 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 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 mat and grab bar. Water temperature in sink accessible to residents in care measured at 106.2 degrees F which is within the allowable range of 105 to 120 degrees F.

Fire extinguishers were last inspected 4/22/24. Smoke/Carbon Monoxide detectors located throughout the facility were operational. Facility’s last quarterly disaster drills were conducted 1/13/25 and 1/25/25. Facility has a backup generator for use during a power outage.

At approximately 1:20pm LPAs conducted a review of six [6] resident records. All required documentation present. 1/2 rails and crushed meds orders all on file for respective residents.

At approximately 2:00pm LPAs conducted review of five [5] staff records. All required documentation present. LPAs and Admin discussed training and training materials. Some staff were slightly short on completed training hours required. Per Admin, Admin conducts training periodically throughout the year but