Facility Evaluation Report
On this day at around 12:25 pm, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct an annual required inspection. LPA was met by staff Luzviminda Bumanglag. LPA explained to Bumanglag the purpose of visit. Administrator Venerando Gano arrived at the facility at around 12:50 pm.
The facility is a Level 4i home vendorized by the Regional Center of the East Bay (RCEB). It has an approved fire clearance for 4 ambulatory clients.
There was one client at the facility observed upon LPA arrival. There was one staff on shift during the visit.
LPA inspected the facility inside and out including but not limited to 3 client bedrooms, 2 bathrooms, kitchen, dining area and backyard. Facility was observed to be clean and odor free. There were no bodies of water observed. There was sufficient supply of perishable and non perishable foods observed. Warm blankets, towels and sheets were observed to be sufficient and in good repair. A fire extinguisher that appeared full and purchased on 7/24/24 was observed. Dual carbon monoxide and smoke detectors were tested and observed functional. First aid kit was observed complete and current.
Hot water measured at 110.7 Fahrenheit. Medications were observed locked in a cabinet in the hallway.
At 12:50 pm, LPA reviewed P & I money and log with Bumanglag. The facility has sufficient amount of surety bond to cover amount of cash being handled at one. At 1:05 pm, LPA reviewed medications and Medication Administration Record (MAR).
At 1:35 pm, LPA reviewed 3 staff files and 3 client files. All staff are fingerprint cleared and associated to the facility. They have current first aid and CPR training.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction