Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by Lily Alcones, licensee. Facility currently has (4) residents in care one (1) of which are currently on hospice.

At approximately 9:30am LPA and licensee 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 and labeled with opened dates present. LPA observed sharp knives locked. Cleaning products and laundry soaps are located in the garage and inaccessible to residents in care.

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 bathrooms had required bath mats and grab bars. Water temperature in sinks measured at 128.6 degrees F in the kitchen and 130.5 in the bathroom used by residents, both of which are not within the allowable range of 105 to 120 degrees F. However, licensee had thermometer and showed LPA the reading on her thermometer which read 113 degrees F in the kitchen. LPA advised to get a new thermometer and try testing with that. LPA is not issuing a citation due to discrepancy in thermometer readings. Licensee will get a new thermometer and test again, and adjusting water heater temperature as needed.

Fire extinguishers were last inspected 11/6/25. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Facility’s last quarterly disaster drill was conducted on 4/27/26. Facility has a backup generator for use during a power outage.