Facility Evaluation Report

On this day at around 9:50 am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct an annual required inspection and met with co Administrator 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 time.

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. Sufficient blankets, sheets, towels, hand towels were observed. Fire extinguisher in the kitchen area was observed to be full and last inspected on 2/6/2024. Smoke detector and carbon monoxide were tested and observed operational. The last fire drill was conducted on 9/14/2024.

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 10:50 am, LPA reviewed medications and Medications Administration Record (MAR) with Ayala. At 11:25 am, LPA reviewed 5 client files and 3 staff files. At around 1:25 pm, LPA interviewed 3 staff.

Deficiencies were cited under Title 22 California Code of Regulations (refer to Lic 809D). Civil penalty of $500.00 is assessed for today's visit.

Exit interview was conducted with the Administrator and Appeal Rights was provided.