Senior Care Records.

Facility Evaluation Report

Valley Residential Care Facility, Union City07/19/2023Licence 019200134

Capacity6
Census6
Date signed07/26/2023 04:30:28 PM
The inspector’s account

On this day at around 9:10 am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct an annual required inspection and met with Assistant Administrator Myra Quevedo. LPA explained to Quevedo the purpose of the visit. Administrator Tyler James Marcelo was informed about the visit.

During the visit, LPA observed 3 clients in the van getting ready to go to their respective day programs. Two clients went to the laboratory for blood work and one client stayed at the facility. Quevedo states the client just graduated from high school.

LPA inspected the facility inside and out including but not limited to client bedrooms, bathrooms, kitchen, dining area, backyard and living area. The facility was observed clean and odor free. There was sufficient lighting throughout the facility. No bodies of water were observed. Chemicals and medications were all locked in different cabinets. 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 10/4/2022. First aid kit was observed complete and updated. Smoke detectors were tested and observed operational.

Last fire drill was conducted on 6/28/2023 and last earthquake drill was done on 7/15/2023.

At around 10:15 am, LPA reviewed 5 client files and 5 staff files. At 11:20 am, LPA interviewed 2 staff and 2 clients. At 12:45 pm, LPA reviewed medications with Quevedo. At 1:24 pm, LPA reviewed P&I money and log. Facility has surety bond sufficient to cover amount of cash being handled at one time.

At around 11:45 am, LPA observed a pink pill under the dining table. Please refer to Lic 809D.

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

This is an amended copy from the report issued on 7/19/2023.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction