Facility Evaluation Report

On this day at around 10:00 am, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct an annual required inspection. LPA was met by caregiver Belinda Cruz. LPA explained to Belinda the purpose of the visit. Licensees Nicanor and Nicole Marcelo arrived at the facility at a later time. The facility is a Level 4F home vendorized by the Regional Center of the East Bay (RCEB).

LPA inspected the facility inside and out including but not limited to 3 client rooms, dining, kitchen, garage and backyard. There was ample supply of linen, towel and warm blankets available for use of client. Hygiene products were observed available. Fire extinguishers appeared full and were last serviced on 11/1/2024. Smoke detectors were tested and observed functional. Last fire drill was conducted on March 4, 2025.

At 11:00 AM, LPA reviewed 6 client and 4 staff files. All staff are fingerprint cleared and associated to the facility. They have current First aid/CPR training.

At 12:30 PM, LPA verified P & I money and log and observed records are accurate and money intact. The facility has surety bond sufficient to cover amount of money being handled at one time.

At 1:30 PM, LPA reviewed medications and Medication Administration Record (MAR) with Nicole.

The following deficiencies were observed and cited per Title 22 California Code of Regulations:

- At around 12:37pm LPA observed medication in kitchen cabinet.

- At around 1:10pm LPA observed Lysol in shared bathroom.

Exit interview was conducted with Nicole Marcelo and Appeal Rights was provided.