Routine inspection·April 14, 2026

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by caregiver. Licensee Dharmisthaben Patel arrived later. Dharmisthaben Patel Administrator Certificate 7009824740 expired 1/8/27. Annual fee is due 4/20/26. Fee notification given to licensee along with PIN for online payment. Facility currently has nine (9) residents in care none of which are currently on hospice. 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 and labeled with opened dates present. LPA observed kitchen cabinet under sink to be free of leaks. All other cleaning products and laundry soaps are located in the laundry room and are 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 105.3 degrees F in the kitchen and 105.1 in the bathroom used by residents, and 105.1 in room #5, all of which are within the allowable range of 105 to 120 degrees F. LPA observed mops and mop buckets in main resident shower room. LPA advised that shower is not storage. Staff immediately cleared out shower room. LPA observed holes in tile outside of room #6. Holes were also in other tiles but were filled with a type of filler that fills the hole. Licensee advised LPA she will have holes in tile filled within 10 days of today's visit. LPA observed scratches on toilet bowls, brown substance was removed from toilets after wiping with a cloth. LPA and licensee discussed filling in scratches so that it doesn't trap Continued on 809C... Continued from 809... substances. LPA and licensee discussed broken door frame to main resident bathroom. Licensee explained that they recently were accidentally locked out of the bathroom and the person that fixed the lock broke the door frame but has yet to repair it. Per licensee door frame will be fixed within 10 days. Two residents (R1 and R2) had full bed rails. LPA discussed with licensee the need for an exception for full bed rails. Licensee explained they do not use the bottom rails. Licensee immediately removed bottom section of rails. Fire extinguishers were last inspected 3/11/26. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Facility’s last quarterly disaster drill was conducted on 4/3/26. Facility has a backup generator for use during a power outage. At approximately 11:00am LPA conducted a review of six (6) staff files. LPA discussed with licensee training material subject matter requirements including but not limited to including the use and misuse of antipsychotics, the interaction of drugs commonly used by the elderly, and the adverse effects of psychotropic drugs. LPA and licensee discussed using an approved vendor or purchasing training materials that are less than a decade old. Licensee would like to us an approved vendor; LPA will send list of approved vendors to licensee. At approximately 12:00pm LPA conducted a review of six (6) out of nine (9) resident files. Files complete. No deficiencies cited. At approximately 12:30pm LPA and licensee conducted a spot check of medication and medication records. Medication is centrally stored in a locked cabinet located in the closet. No deficiencies cited. LPA and Licensee discussed Emergency Disaster Plan. No recent updates. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report Liability Insurance No deficiencies cited during this inspection. Conducted exit interview with licensee and a copy of this report given .