Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by caregiver. Administrator Helen Trinidad Administrator Certificate 7002182740 expires 8/26/25. LPA and Administrator discussed facility's Infection Control Plan and Emergency Disaster plan. No new updates.

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. 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. Closet off of kitchen found to have rodent droppings ( deficiency cited, see 809D )

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. One resident bathroom did not have a required bath mat but did have grab bars, the other resident shower did have required bath mat. Water temperature in sink accessible to residents in care measured at 122.7 degrees F in the common hall bathroom which is not within the allowable range of 105 to 120 degrees F but measured 108.6 in the kitchen and 109.7 in room #1 which is within the allowable range of 105 to 120 degrees F. Licensee immediately turned down water heater and will continue to work on getting all temperatures within regulation.

Fire extinguishers were last inspected 6/16/25. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Facility’s last quarterly disaster drills were conducted 6/15/25. Facility has a backup generator for use during a power outage.