Facility Evaluation Report

On this day at around 10 am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct an annual required inspection. LPA was met by staff Lutgarda Marquez. LPA explained to Marquez the purpose of the visit. Administrator Jovita Bolloso (Admin cert#6011284735) arrived at around 10:20 am.

The facility is a Level 4C home vendorized by the Regional Center of the East Bay with an approved fire clearance for 6 ambulatory clients. During the visit, two clients were observed in the home but went out at around 11:15 am.

LPA inspected the facility inside and out including but not limited to client rooms, kitchen, dining and living areas, garage and backyard. At 10:10 am, LPA observed hot water temperature in the kitchen measured at 133 degrees Fahrenheit. There was sufficient supply of perishable and non perishable foods. There was ample supply of linen, towels, and sheets available for use of clients. Fire extinguisher was observed full and was last serviced in May 2022. Smoke detectors and carbon monoxide were tested and observed functional. First aid kit was observed complete. Administrator was unable to provide proof of disaster training to LPA during the visit.

At around 10 am, LPA verified P & I money and log and observed records and money were accurate. The facility has surety bond sufficient to cover the amount of cash being handled at one time.

At 11:00 am, LPA reviewed 5 client records and 3 staff records. At 1pm, LPA interviewed staff on duty. At 2:05 pm, LPA interviewed 2 clients who came back from the day program.

Deficiencies were observed (see Lic 809D) per Title 22 California Code of Regulations.

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