Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by caregiver. Administrator Fikre Gurja arrived later, certificate #7029598740 expires 1/7/27. Facility roster was reviewed.

At approximately 9:30am LPA 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. Most food was found to be stored in a safe manner with open items covered, some items such as applesauce and spaghetti sauce were opened without opened dates present. Kitchen cabinet under sink was locked. Kitchen drawer with sharp knives locked.

All bedrooms were equipped with lighting, night stand, and chest of drawers. Resident room #1 smelled of urine, noticeable when entering the facility . LPA advised of regulation for Managed Incontinence 87625. LPA advised that residents must be kept clean and dry and also their bedding must be kept clean and dry. 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 115 degrees F in the kitchen and 114.5 degrees F in the hall bathroom which is within the allowable range of 105 to 120 degrees F.

Fire extinguishers were last inspected 6/19/24. LPA discussed with Admin that fire extinguishers need to be serviced annually. However, fire extinguisher showing as fully charged. Smoke/Carbon Monoxide detectors located throughout the facility were operational. Facility’s last quarterly disaster drills were conducted with each staff member in May and June of 2025, LPA observed all training dates for respective staff were within the quarter. Facility has a backup generator for use during a power outage.