Facility Evaluation Report

On this day at around 10:20 am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct an annual required inspection and met with staff Flordeliza Pangilinan. LPA explained to Pangilinan the purpose of the visit. The facility is a Level 4i home vendored by the Regional Center of the East Bay (RCEB). The Administrator arrived at around 11:30 AM.

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 7/19/2025. First aid kit was observed complete. Smoke detector and carbon monoxide were tested and observed operational.

Last fire drill was conducted on June 30, 2025 and last earthquake drill was done on 6/30/2025. 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 11:30 AM, LPA reviewed 6 client files and 4 staff files. At 12:30 PM, medications and Medications Administration Record (MAR) were reviewed.

At around 10:40 AM, LPA observed hot water measured at 134.5 Fahrenheit, ripped window screen, dusty window and leaking refrigerator.

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

Exit interview was conducted and Appeal Rights was provided to Pangilinan.