Facility Evaluation Report

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

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 11/12/24. Smoke detector and carbon monoxide were tested and observed operational. Last fire and earthquake drills were done on 7/6/2025.

LPA reviewed 4 client files and 3 staff files. LPA reviewed P&I money and log with Administrator. The facility has sufficient surety bond to cover amount of cash being handled. Medications/MAR were reviewed with Domanillo. The following deficiencies were observed:

Client 1 (C1) has unstageable pressure injuries

Deficiencies were cited per Title 22 California Code of Regulation (see Lic 809D).

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