Facility Evaluation Report

On 04/02/2026 at 11:05 AM, Licensing Program Analyst (LPA) P. Manalo conducted a case management visit to verify clients' P&I log from the required annual visit conducted on 02/25/2026. Administrator, Rosalie Amacan, gave verbal authorization for Fernando to sign the report.

During the visit, LPA and staff, Jason Fernando, reviewed the client's P&I log, Surety Bond, LIC400, and counted client's money. LPA observed that C1's Record of Client's/ Resident's Safeguarded Cash Resources log (LIC405) was miscalculated by staff and C1 had more cash on hand than what is on the log. Fernando verified the invoice of C1's payment with the pharmacy to confirm that the payment was logged correctly and there was a staff error on calculating for the log.

In addition, LPA observed C2's P&I log and observed that a check was sent out to Regional Center of East Bay (RCEB) to C2's case manager since C2 is no longer residing in the facility. Administrator will provide LPA a copy of the check by the end of the day for review.

LPA will request for an updated LIC400 to reflect the surety bond and an updated LIC405 for C1 by 04/10/2026.

Exit interview conducted and a copy of this report provided.