Facility Evaluation Report

On 08/20/2021 at 11:00am Licensing Program Analyst (LPA) D. Panlilio conducted an announced pre-licensing inspection and met with Rolando Gil, Applicant/Licensee. LPA observed this is a brand new facility with no clients. Applicant stated once license is issued, he will apply vendorization with Regional Center of the East Bay to operate a level 4I home.

LPA toured the clients bedrooms, bathrooms, dining room, common living areas, kitchen, and backyard. There are three (4) bedrooms and two (3) bathrooms. There is sufficient lighting around the facility. Clients' rooms are equipped with the proper furniture, bedding and lighting. Passageways and hallways are free of obstruction. Hot water temperature is measured at 114.6 degrees Fahrenheit. LPA observed locked cabinets that will store medications, toxins and sharps. Required posters are posted on the wall. Thermostat in hallway showed temperature as 73 degrees F. Emergency disaster plan dated 06/16/21. Two fire extinguishers were last serviced on 07/23/21. First Aid kit was complete. Carbon monoxide and smoke detectors were in working condition.

No issues noted during inspection. LPA observed that facility is ready to be licensed. This report will be submitted to the Central Applications Unit (CAU) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAU. Additional requirements may still be required.

Exit interview conducted and a copy of this report provided.