Senior Care Records.

Facility Evaluation Report

Buenavista Home at Pepperwood, Hercules03/21/2024Licence 079200310

Capacity6
Census6
Date signed03/21/2024 04:03:40 PM
The inspector’s account

On 3/21/2024 at 1:35 PM, Licensing Program Analyst (LPA) Carol Fowler arrived unannounced to conduct Required 1 Year Annual inspection. LPA met with Administrator, Rhodora Del Rosario and Caregiver Ofelia Ladiao, and explained the purpose of the visit. Administrator Mark Del Rosario arrived at 2:45PM 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. There are no bodies of water. A comfortable temperature for clients is maintained at 68 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 108.1 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 10/09/2023. Emergency Disaster Drill earthquake and fire drill was last conducted on 11/03/2023. First aid kit was observed to be complete.

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