Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by Administrator Sanjay Kabadi, Administrator certificate #7012609740 expires 8/16/26.

At approximately 9:30am LPA and Head of Maintenance (HOM) 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 items such as ice cream, rice, bread, tortillas, chopped onions, chopped tomatoes, prepared steaks, and chopped greens were all found uncovered and/or in open unsealed bags/bins ( deficiency cited, see 809D ). Two gallons of milk located in ancillary kitchen refrigerator did not have dates of opening, LPA discussed with Admin ensuring all opened items be labeled with date of opening. Facility was in the middle of a buffet lunch while LPA was touring kitchen. Bun rack containing steaks and other food items were not covered. Kitchen staff explained steaks were resting and that is why they were uncovered. LPA advised that the bun rack itself should have a cover that covers the entire rack. LPA and HOM observed disinfectants and cleaning solutions in unlocked cabinet in ancillary Assisted Living Dining room ( deficiency cited, see 809D and civil penalty assessed see LIC421FC ). Main kitchen disposal sink has an active leak and hot box door does not properly latch or seal shut (deficiency cited, see 809D ). Water in main kitchen measured at 126.5 degrees F, so LPA and Admin discussed putting up warning signs of water temperature over 125 degrees F.

Facility has Independent Living (IL) and Assisted Living (AL) residents. Facility does not offer Memory Care. LPA toured selected AL resident rooms: #159, #155, and #161. All apartment bathrooms were equipped with an emergency pull cord and grab bars. Water temperature in sink accessible to residents in care measured at