Facility Evaluation Report

At approximately 9:40 AM, Licensing Program Analyst (LPA) Star Stevenson arrived unannounced to conduct a required 1-Year visit and met with house manager/caregiver Angelie Dean who called administrator Princess Diana Silverio, who, by phone reported Angelie Dean has designation of facility responsibility and could help to begin the inspection. Administrator Silverio arrived at approximately 10:30 AM. LPA was informed there are four (4) residents in care with two (2) away in day programming and one (1) resident on hospice and another resident was present.

Facility is a Residential Care Facility for the Elderly (RCFE) that has vendored residents from North Bay Regional Center (NBRC). Facility has a hospice waiver for three (3), an approved dementia plan and fire clearance for capacity of six (6) residents; five (5) non-ambulatory and one ambulatory.

At approximately 10:35 AM, LPA initiated a tour of the facility and observed the following: Facility is a one-story home, was a comfortable temperature, and passageways were free from obstructions. Water temperature in clients' bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed client showers with grab bars and non-slip mats as required. LPA observed a supply of clean linens, incontinent care products, and paper products available to clients. Clients' bedrooms were inspected and observed to have appropriate furnishings as outlined in Title 22 regulations. Cabinets in communal areas containing cleaning supplies and other items that could pose a risk were observed locked.

Staff rooms containing personal medicines and valuables have lockable doors and it was recommended to administrator to switch key locks to keypad door locks to make compliance with locking staff doors easier.

Facility is noted to have four (4) massage chairs, large television, board games and books for residents.