Facility Evaluation Report

Licensing Program Analysts (LPA) Christi Coppo and Jacqueline Macias arrived unannounced to conduct a required Annual inspection and was greeted by Staff. Administrator Jeannette Kinney was not available, but LPAs contacted and Admin indicated Tina Worden, Health and Wellness Director (HWD) has signing permissions. HWD arrived later. Facility contact information was reviewed.

At approximately 10:15am LPAs and HWD toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPAs 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. LPAs observed cereal bag not properly sealed; open and exposed. English muffins were not properly stored in the bag; open and exposed. Ice cream tubs were not covered but stored in a covered ice cream freezer. White granular substance was stored in a plastic container with plastic “cling” wrap but without proper lid. Avocados were stored inside the refrigerator without being placed in a Ziploc or plastic wrap. Jello cups were stored on a tray but open and exposed without plastic wrap covering the cups. Container underneath the garbage disposal/sink area had food waste.

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. Water temperature in sink accessible to residents in care measured at 116.9 F in community bathroom downstairs, 117.1 F in room #30, 119.1 F in room #68, 117.2 F in room #40, which are all within the allowable range of 105 to 120 degrees F.

Fire extinguishers were last inspected 10/30/2023. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational as indicated per Fire Safety Supply's Inspection, Testing, and Maintenance Report dated 12/27/23. Facility’s last quarterly disaster drills were conducted on 5/2/2024.