Facility Evaluation Report

On this day at around 9:40 am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct an annual required inspection. LPA met with staff Zenaida Gustilo and explained the purpose of visit. Katelyn Salvador arrived at a later time. The Administrator was notified about the visit over the phone.

During the visit, LPA inspected the facility inside and out including but not limited to client bedrooms, bathrooms, dining area, garage and backyard. Facility has an approved fire clearance for 2 non ambulatory and 4 ambulatory clients. Facility is a Level 41 home vendorized by the Regional Center of the East Bay (RCEB).

Upon arrival, LPA observed 5 clients in the facility. Gustilo states one client is in the day program.

The facility was observed to be clean and odor free. There was sufficient lighting and no bodies of water were observed. Medications were locked in a cabinet in the hallway. There was sufficient supply of perishable and non perishable foods. Hot water measured at 117 degrees Fahrenheit in the common bathroom. Fire extinguishers were observed full and last inspected on 10/12/2023. Passageways were observed free from any obstruction. Carbon monoxide was tested and observed functional. Smoke detectors are interconnected.

At 10:00 am, LPA reviewed 5 clients and 4 staff files. All staff are fingerprint cleared and associated to the facility. LPA interviewed 2 staff. At 12:20 pm, LPA reviewed P & I money and log with Salvador. The facility has sufficient amount of surety bond to cover the cash being handled at one time. Last fire drill was conducted on April 19, 2024. Based on record review conducted, LPA observed C2 is non ambulatory but is currently living in an ambulatory room.

Type A deficiency was cited per Title 22 California Code of Regulations (Refer to Lic 809D). Exit interview was conducted with Salvador and Appeal Rights was provided.