Facility Evaluation Report

Agnes House, Walnut Creek04/17/2026Licence 079201047

Capacity6
Census6
Date signed04/17/2026 12:33:52 PM
Name of licensing program analystJames Sampair
Name of licensing program managerHarpreet Humpal
The inspector’s account

On 04/17/2026 at 08:30 AM , Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct this Required One Year inspection. Upon entry, the LPA stated the purpose of the visit to Caregiver Lorena "Gigi" Sumalinog. At approximately 9:00 AM Administrator Alberto Bernardino arrived.

The LPA toured the facility, including but not limited to, residents’ rooms, bathrooms, kitchen, common areas, and the yard. The LPA observed adequate lighting for the comfort and safety of residents in all rooms. Inside and outside areas are free of obstruction and no bodies of water. The temperature in the living room was measured at 72 degrees Fahrenheit. The maximum hot water temperature was measured at 117 degrees Fahrenheit in the kitchen.

The residents’ bathrooms are equipped with grab bars and slip-resistant mats. There is more than the minimum of a one week supply of nonperishable foods and 2 days of perishable foods. The LPA observed the required postings in the facility. Smoke detectors and carbon monoxide detectors were tested and found to be in operating condition. The fire extinguisher was fully charged and last replaced on 1/31/2026. The Emergency Disaster Plan was reviewed within the past year; the most recent review was on 3/1/2026. Emergency, disaster, and fire drills were conducted on a quarterly basis; the most recent was 3/3/2026. First aid kit was observed to be complete. Liability insurance expires on 2/24/2027.

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