Facility Evaluation Report

On this day, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct an annual required inspection and met with staff Jorge Saygan. LPA explained to Saygan the purpose of the visit. LPA and Saygan contacted the Administrator who authorized Saygan to sign the report.

During the visit, LPA inspected the facility inside and out including but not limited to bedrooms, bathrooms, kitchen, dining, garage and outside areas. The facility is a Level 4i home vendorized by the Regional Center of the East Bay (RCEB). LPA observed a fire extinguisher in the kitchen that appeared full and was last serviced on 8/28/2023. Smoke detectors and carbon monoxide detectors were tested and observed functional. There were sufficient supply of both perishable and non perishable foods. The facility has ample supply of warm blankets, sheets and towels available for use of the clients. First aid kit was inspected and observed complete and updated. Medications were observed locked in a cabinet. Hot water in the kitchen and bathroom measured at 105 degrees Fahrenheit.

LPA interviewed 2 staff and 2 clients. LPA reviewed 5 staff and 5 client files. All staff were observed fingerprint cleared and associated to the facility. Staff have current First Aid and CPR training except for S3 who is missing proof of First aid training. P&I money and log were checked. LPA observed the facility has sufficient amount of surety bond to cover amount of money being handled at one time. The facility's last fire drill was conducted on 3/7/2024 and last earthquake drill was completed on 12/17/2023. LPA reviewed medications and Medications Administration Records(MAR) with Saygan.

The following deficiencies were observed: Missing wood planks in the backyard fence, screen window in the kitchen not fitting, side gate on one side is hard to open, one couch is caving in and bathroom bulb needed replacement, S3 is missing proof of first aid training.