Facility Evaluation Report

On this day at around 9:45 am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct an annual required inspection and met with staff Venice Ayala. LPA explained to Ayala the purpose of the visit. The facility is a Level 4C home vendored by the Regional Center of the East Bay (RCEB). Administrator Grace Acosta arrived at a later.

LPA inspected the facility inside and out including but not limited to client bedrooms, bathrooms, kitchen, dining area, backyard and living area. There was sufficient lighting throughout the facility. No bodies of water were observed. There was sufficient supply of perishable and non-perishable foods. Sufficient blankets, sheets, towels, hand towels were observed. Fire extinguisher in the kitchen area was observed to be full and last inspected on 2/10/2023. Smoke detector and carbon monoxide were tested and observed operational.

Last fire and earthquake drills were conducted on 5/8/2023. At around 11:00 AM, LPA reviewed P&I money and log. The facility has sufficient amount of surety bond to cover amount of money being handled at one time. At 11:20 am, LPA reviewed 5 client files and 5 staff files. At around 2:20 pm, LPA interviewed 2 staff and 2 clients.

The following deficiencies were observed:

Two non ambulatory clients stay in ambulatory rooms

client has catheter but facility has no approved exception, no updated needs and services plan, no proof of staff training, no restricted condition health plan