Facility Evaluation Report

On 08/23/24 at 12:30PM, Licensing Program Analyst (LPA) Daisy Panlilio conducted an unannounced annual inspection and met with administrator (ADM). LPA explained the purpose of the visit with ADM. LPA observed ADM has a current administrator certificate# 6024017735 which expires 04/10/2025.

LPA observed no clients present at the facility during visit. ADM stated that he has not admitted any clients at the facility since he got his license on 09/15/2017. ADM stated he is currently living at the home with his family until he is vendorized by Regional Center of the East Bay (RCEB) to receive disabled clients. ADM stated once he is vendorized by RCEB and he secures level 4I clients at the home, he will move his family to reside at a different location and operate this facility with proper staffing and comply with Title 22 regulations. LPA observed fire extinguisher fully charged and purchased on 06/21/24.

LPA observed no central screening station at the front entrance as well as no COVID-19 signages present at the facility. LPA discussed infection control practices, operational & food service requirements, emergency/disaster preparedness, personnel and clients records requirements, incidental health & medical requirements, clients and staff personal rights, staffing & training, physical plant and incident/reporting requirements with ADM during visit.

No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.