Facility Evaluation Report

At approximately 1:45 PM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a pre-licensing inspection and was greeted by Licensee Applicant, Leslieann Enriquez. This pre-licensing inspection is being conducted for an initial licensing of a Residential Care Facility for the Elderly (RCFE). Fire Clearance has been approved for five (5) non-ambulatory residents. Facility has a waiver for three (3) residents receiving Hospice services. Facility has submitted a dementia plan to CCL as well. Licensee Applicant is currently in partnership with North Bay Regional Center (NBRC) and plans for resident placement upon issuance of license.

At approximately 2:00 PM, LPA initiated a tour of the facility and observed the following: Facility is a one story home with auditory signals activated on all exits, was a comfortable temperature, and passageways were free from obstructions. Water temperature in residents' bathrooms measured at approximately 135 degrees F, which is above the allowable range of 105 to 120 degrees F per Title 22 regulations. Licensee Applicant lowered the water heater temperature two separate times during inspection and the water temperature did not change. LPA observed resident showers with the required non-slip mats, but 1 of 4 bathrooms was missing the required grab bars. Licensee Applicant agreed to install some. LPA observed a supply of incontinent care products and paper products available to residents. LPA informed Licensee Applicant of the need to increase the facility's supply of towels, bedding sheets, and hygiene products. Hallways are equipped with night lights and residents' bedrooms have all the appropriate furnishings as outlined in Title 22 regulations.

There is a sufficient amount of 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 kitchen sink. Cabinets in communal areas of the facility containing cleaning supplies and other items that could pose a risk were observed locked. Facility has at least two days of perishable foods, but does not have at least one week of non-perishable foods or emergency water. LPA observed a sample menu posted in the common area to indicate a healthy and balanced set of meals for residents in care.