Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by caregiver. Administrator Kathleen Albano arrived later. Facility contact information was reviewed.

At approximately 9:30am LPA and caregiver 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 in refrigerator had open items covered but not labeled with date of opening/storing. Food observations include: refrigerator drawer of radishes were covered in black substance and spots. Refrigerator drawer liner covered with black spots of a black substance and contained wilted and browning celery with brown liquid, and lemon and orange with white and blue fuzzy substance ( deficiency cited, see 809D ). LPA discussed with Admin their practice of freezing milk. LPA observed frozen milk to be stamped with a best if used by date that has expired by one day. LPA advised to keep fresh milk on hand or if they must freeze the milk to please defrost and use by best if used by date. 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 106.8.and 111.3 degrees F which is within the allowable range of 105 to 120 degrees F. One [1] of two [2] main bathrooms had cabinet containing toxins not was locked but had locking function ( deficiency cited, see 809D ).

LPA inspection of garage revealed a walled off storage room used as a sleeping area for staff and included fan, bed, and stereo. LPA advised Admin they can either submit a LIC200 with an updated facility sketch to CCL to request fire clearance for the room, or remove all items from that room and cease have any staff use it.