Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by Licensee Josephine Credo.

At approximately 1:45pm 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 and most were labeled. 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 109.7 degrees F which is within the allowable range of 105 to 120 degrees F. Residents in rooms #3 and #6 have oxygen in use but licensee could not produce notification fax to fire dept ( deficiency cited, see 809D ). Additionally, rooms #3 and #6 do not have oxygen in use sign present ( deficiency cited, see 809D ).

Fire extinguishers were last inspected 2/14/25. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Facility’s last quarterly disaster drills were conducted last conducted 4/19/24 ( deficiency cited, see 809D ). Facility has a backup generator for use during a power outage.

At approximately 3:30pm LPA conducted a review of 6 resident records. Residents R1 and R2 have