Facility Evaluation Report

On this day at around 9:25 am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct an annual required inspection. LPA was met by staff Ricardo Cortez. LPA explained to Cortez the purpose of the visit. Administrator Maridel Cortez arrived at the facility at a later time but needed to take one client to the doctor's office. The two other clients were in their respective day programs.

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

LPA inspected the facility inside and out including but not limited to 3 client rooms and 2 staff rooms. Hot water in the kitchen measured at 122.5 degrees Fahrenheit. There was sufficient supply of perishable and non perishable foods. Chemicals and cleaning products were observed locked separately from the foods. Fire extinguisher in the kitchen was observed full and has a purchase date of 12/15/2022. Facility has sufficient lightings, furniture and fixtures. There was ample supply of bed sheets, warm blankets, towels and hygiene products. Carbon monoxide and smoke detectors were tested and observed operational. First aid kit was observed complete.

Last fire and earthquake drill was conducted on August 8, 2023. At 9:55 am, LPA reviewed P&I money and log. At 10:10 am, LPA reviewed 3 client files and 3 staff files.

The following deficiencies were observed:

facility does not have an approved infection control plan

window screens in Room 1 and living room were observed with holes