Facility Evaluation Report

On this day at around 8:55 am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived at the facility unannounced to conduct annual required inspection. LPA was met by staff Emerenciana Nicolas and explained the purpose of visit. Administrator Narciso Bernardo arrived at the facility at a later time.

The facility is a Level 3 home vendorized by the Regional Center of the East Bay (RCEB). It has an approved fire clearance for 6 ambulatory clients.

There was one client at the facility observed doing activities via zoom.

LPA inspected the facility inside and out including but not limited to client bedrooms, 2 bathrooms, kitchen, dining and backyard. Facility was observed clean and with sufficient lighting. There was no body of water observed. Hot water measured at 105 F in the kitchen. There was sufficient supply of perishable and non perishable foods observed. Fire extinguisher in the kitchen was observed full that was last inspected on 12/16/2022. Carbon monoxide and smoke detector were tested and observed functional.

Medications were observed locked in a cabinet in the hallway.

Facility has an infection control plan. Facility has a surety bond in the amount of $5,000.

At 10:25 am, LPA reviewed Medication Administration Record (MAR) and medications. At 10:45 am, LPA reviewed P & I money. At 11:20 am, LPA reviewed 3 resident files and 3 staff files. LPA interviewed 2 clients and 2 staff.

At 12:45 pm, LPA reviewed First aid kit. Last fire drill was conducted on 11/2022.