Facility Evaluation Report

Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct an annual required inspection and met with staff Flora Timbreza. LPA explained to Timbreza the purpose of the visit. LPA and Timbreza contacted the Administrator who is unable to come but authorized Timbreza to sign the report.

During the visit, LPA inspected the facility inside and out including but not limited to bedrooms, bathrooms, kitchen, dining, garage and outside areas. The facility is a Level 3 home vendorized by the Regional Center of the East Bay (RCEB). LPA observed a fire extinguisher in the kitchen that appeared full and was last serviced on 10/12/2023. Smoke detectors and carbon monoxide detectors were tested and observed functional. There were sufficient supply of both perishable and non perishable foods. The facility has ample supply of warm blankets, sheets and towels available for use of the clients. First aid kit was inspected and observed complete and updated. Medications were observed locked in a cabinet in the family room.

LPA reviewed 5 staff and 5 client files. All staff were observed fingerprint cleared and associated to the facility. Staff have current First Aid and CPR training. P&I money and log were checked. LPA observed the facility has sufficient amount of surety bond to cover amount of money being handled at one time. The facility's last fire drill was conducted on 1/16/2024 and last earthquake drill was completed on 1/21/2024. LPA reviewed medications and Medications Administration Records(MAR) with Timbreza.

At around 11:30 am, LPA observed hot water measured at 126 Fahrenheit.

Facility will submit the following records to LPA by the end of the day: Infection Control Plan, Emergency Disaster Plan, Lic 500, Surety Bond, Disaster Drill, Vehicle Insurance/Registration/License, Lic 400 and Liability insurance.