Senior Care Records.

Facility Evaluation Report

Buenavista Home at Pepperwood II, Hercules10/14/2025Licence 079200251

Capacity6
Census6
Date signed10/14/2025 04:26:15 PM
Name of licensing program analystCarol Fowler
Name of licensing program managerBennett Fong
The inspector’s account

On 10/14/2025 at 2:20 PM, Licensing Program Analyst (LPA) Carol Fowler arrived unannounced to conduct Required 1 Year Annual inspection. LPA met with Care Giver Ronnie Boleche and spoke with Administrator, Mark Del Rosario over the phone and explained the purpose of the visit. The facility’s fire clearance was approved for 4 Ambulatory and 2 Non-Ambulatory.

LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 4 total bedrooms which 3 bedrooms are occupied by the clients and 1 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. A comfortable temperature for clients is maintained at 69 degree Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature in the shared clients’ bathroom was measured at xxx.x degree Fahrenheit. All toilets, hand washing stations, and bathing stations are safe, sanitary and in operating condition. The supply of extra hygiene’s were available for clients. There is a minimum of 7 day supply of non-perishables and 2 day perishables food supply.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 05/28/2025. Emergency Disaster Drill (earthquake drill) was last conducted on 08/05/2025. Fire drill was last conducted on 08/05/2025. First aid kit was observed to be complete.

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