Facility Evaluation Report

On this day at around 2:20 PM, Licensing Program Analyst (LPA) Luisa Fontanilla arrived at the facility unannounced to conduct annual required inspection. LPA was met by staff Angelica Chavez and explained the purpose of visit. Administrator Shirley Bordon arrived at a later time.

The facility is a Level 4i home vendorized by the Regional Center of the East Bay (RCEB). It has an approved fire clearance for 6 ambulatory clients.

During the visit, LPA inspected the facility inside and out including but not limited to 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 degrees Fahrenheit in the kitchen. There was sufficient supply of perishable and non perishable foods observed. Fire extinguishers were observed full and last inspected on 9/10/2024. Carbon monoxide and smoke detectors were tested and observed functional.

First aid kit was observed complete. Last fire drill was completed on March 15, 2025 .

Deficiencies are cited from Title 22 California Code of Regulations, and listed on Lic 809D.

Failure to submit proof of corrections by plan of correction due dates, and any repeat violation within 12 month period may result in civil penalty.