Senior Care Records.

Facility Evaluation Report

Birchwood Care Home, Union City08/03/2023Licence 019200272

Capacity6
Census6
Date signed08/03/2023 03:06:53 PM
The inspector’s account

On this day at around 10:05 am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct an annual required inspection and met with staff Theresa Ordiniza. LPA explained to Ordiniza the purpose of the visit. The facility is a Level 4i home vendored by the Regional Center of the East Bay (RCEB).

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 6/22/2023. First aid kit was observed complete and updated. Smoke detector and carbon monoxide were tested and observed operational.

Last fire drill was done on July 6, 2023 and last earthquake drill was done on 5/1/2023. At around 11:45 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 12 noon, LPA reviewed 5 client files and 5 staff files.

At around 10:40 AM, LPA observed 5 pots of plants on right side passageway and 2 garbage bins on left side passageway.

Deficiency is cited per Title 22 California Code of Regulations (refer to Lic 809D).

Exit interview was conducted and Appeal Rights was provided to Theresa Ordiniza who was authorized by Administrator to sign the report.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction