Facility Evaluation Report

On this day at around 10:10 AM, Licensing Program Analyst (LPA) Luisa Fontanilla arrived at the facility unannounced to conduct an annual required inspection. LPA met with staff Charisma Aguilar. LPA explained to Charisma the purpose of visit. Administrator Thelma Ruiz arrived at the facility at around 10:50 AM.

The facility is a Specialized Residential Facility (SRF) vendorized by the Regional Center of the East Bay (RCEB). It has an approved fire clearance for 4 ambulatory clients.

Upon arrival, LPA observed 2 clients and 2 staff on duty. 2 out of 4 clients were in the day program. 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 clean and with sufficient lighting. There was no body of water observed. Hot water measured at 109.5 F in the shared bathroom. There was sufficient supply of perishable and non perishable foods observed. Fire extinguisher in the kitchen was observed full that was last inspected on 4/30/2024. Carbon monoxide and smoke detectors were tested and observed functional. Medications were observed locked in the office. The last fire drill was conducted on 3/15/2024.

At around 11:00 AM , LPA reviewed 3 staff and 4 client records. All staff are fingerprint cleared and associated to the facility.

At 12:35 PM, LPA reviewed Medication Administration Record (MAR) and medications with Charisma. At

1 PM, LPA reviewed P&I money and log with the Administrator.

Deficiency is cited per Title 22 California Code of Regulations.

Exit interview was conducted with the Administrator and Appeal Rights was provided.