Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by Counselor. Program Director (PD) Racquel Raval arrived shortly after. Elizabeth Pickering, Administrator (Admin) arrived at approximately 10:00am. Facility contact information was reviewed.

At approximately 9:45am LPA and PD toured the building and grounds. The facility was found to be 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. Water temperature in sink accessible to residents in care measured at 126 degrees F which is not within the allowable range of 105 to 120 degrees F. PD immediately turned down water heater.

Fire extinguishers were last inspected 1/4/2024. Smoke/Carbon Monoxide detector was tested by LPA and found to be operational. Facility’s last quarterly disaster drill was conducted on 4/18/2024.

At approximately 12:00pm LPA conducted review of five [5] staff records. All required documentation present. At approximately 1:00pm LPA conducted a review of six [6] of eight [8] resident records. All required documentation present.

At approximately 2:15pm LPA and PD conducted a spot check of medication and medication records. Medication is centrally stored in locked lockers in staff office room.