Facility Evaluation Report

At approximately 10:50 AM, Licensing Program Analyst (LPA) Julie Florio arrived announced to conduct a pre-licensing inspection and was greeted by Licensee/Applicant, Gloria Morales. This pre-licensing inspection is being conducted for an initial licensing of an Residential Care Facility for the Elderly (RCFE). Fire Clearance has been approved for 6 ambulatory residents. Facility does not currently have a dementia care plan or Hospice waiver. Licensee/Applicant is not currently in partnership with North Bay Regional Center (NBRC) or a placement agency but plans to look into this. Licensee/Applicant does not plan to advertise until after receiving license.

At approximately 11:25 AM, LPA initiated a tour of the facility and observed the following: Facility is a two story home, was a comfortable temperature, and passageways were free from obstructions. Water temperature in residents' bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed resident showers with the required non-slip mats and grab bars in place. LPA observed a supply of clean linens, hygiene products, and paper products available for residents. Facility has five bedrooms with one downstairs and four upstairs. Residents' bedrooms have the appropriate furnishings as outlined in Title 22 regulations. However, each was missing a chest of drawers, but the licensee ordered one for each bedroom during today's inspection. Licensee also ordered night lights for the hallways and common areas during today's inspection.

There are dishes and cooking supplies for resident use with sharps and other hazardous items kept secured in various designated drawers and cabinets as well as under the locked kitchen sink. Cabinets in communal areas of the facility containing cleaning supplies and other items that could pose a risk were observed locked. Licensee/Applicant agrees to keep keys to these items secured and inaccessible to residents in care, possibly by installing key pads.