Facility Evaluation Report

On 11/13/2025 at 9:00am Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct an annual required inspection and were met by caregiver Ellen Jovero. Franklin (Frank) Bautista, Administrator (ADM) certification number: 7000672735 issue from 4/20/25-4/19/2027. LPA informed us via telephone about the purpose of visit. The facility is a Level 4i home vendorized by the Regional Center of the East Bay (RCEB). There were two clients at the facility upon arrival. AMD arrived around 12PM.

Facility has an approved fire clearance for 6 ambulatory residents. LPA inspected the facility inside and out including but not limited to client rooms, bathrooms, kitchen, dining area, laundry room and backyard. Hot water measured at 108.7 degrees Fahrenheit. Hallways and passageways were free of obstruction. There was sufficient supply of perishable and non-perishable foods. Hygiene and hygiene products were available for the clients. There was supply of warm blankets, towels and sheets observed. There were no bodies of water observed. Chemicals and other toxic products were locked in a shed in the backyard. Fire extinguisher appeared full and was purchased on 2/10/25. Last fire drill was conducted on 9/29/2025. Liability Insurance effective date from 3/21/25 to 3/21/26.

LPA reviewed 6 clients files. 6 out of 6 have current physician report and T. B. on files. LPA reviewed 5 staff records and 5 of 5 have current first aid training and are associated to the facility. LPA reviewed a sample of resident’s medications.

- At 10:15AM LPA observed food including but not limited to cereal, packaged ham, packaged hotdog, vegetables are not properly storage.

- At 11AM LPA observed multiple tools including but not limited to ranch, other sharp objects were laid out in the backyard.

The deficiency was observed (see LIC 809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiency may result in civil penalties.

Exit interview conducted and appeal rights provided.