Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by Administrator Angelica Martinez.

At approximately 9:35am 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. LPA observed frozen milk. LPA discussed with Admin reason for freezing milk. LPA advised best practices not to freeze milk as it can cause the fat and protein to separate and affect the flavor and texture as well. Kitchen drawer with sharp knives locked.

All bedrooms were equipped with lighting, night stand, and chest of drawers. Room #2 was found to have a soiled brief in an uncovered waste basket as well as urine present in an uncovered bedside commode ( deficiencies cited, see 809D ). Resident bathroom had required bath mat and grab bar. Water temperature in sink accessible to residents measured at 117.5 and 115.7 degrees F which is within the allowable range of 105 to 120 degrees F.

Fire extinguishers were last inspected 9/23/24. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Facility’s last quarterly disaster drills were conducted November 2024. LPA advised to be sure to conduct disaster drills quarterly.