Facility Evaluation Report

At approximately 2:30 PM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a required 1-year annual inspection and met with Froilan Devera, Administrator. Licensee, Carl Resurreccioa arrived at approximately 2:50 PM, and Licensee, Julie Martuscello arrived at approximately 3:45 PM. Facility is an Adult Residential Facility with four (4) ambulatory clients in care and all were present during visit. Facility is vendorized with North Bay Regional Center (NBRC).

At approximately 3:00 PM, LPA initiated a tour of the facility with Administrator 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 the face of two drawers in bathroom #1 broken off exposing several nails which poses a risk to clients in care, (see pictures and LIC809D). LPA observed a supply of clean linens, hygiene, incontinent care, and paper products available to clients in care. Additionally, LPA observed used towels and wash clothes present in both communal bathrooms and in the shower of bathroom #2, (see pictures and LIC809D). Clients' bedrooms were inspected and observed to have appropriate furnishings as outlined in Title 22 regulations. Bedroom #5 is live-in Staff 1's (S1's) bedroom and was observed unlocked with nail polish remover and at least three (3) instances of medications or vitamins accessible to clients in care, (see pictures and LIC809D). LPA observed over five (5) instances of chemicals or toxins that could pose a risk to clients in care, (see pictures and LIC809D). Facility has at least two days of perishable food and one week of non-perishable foods. However, LPA observed at least five (5) instances of expired food and opened food items in the freezer not labeled with the open date or repackaged properly to ensure food safety, (see pictures and LIC809D). Facility uses magnet locks for some of their cabinets which LPA observed stored next to the wall mounted key holder in the kitchen where it was accessible to clients in care. Administrator and Licensees agreed to ensure that the magnet shall remain inaccessible to clients in care at all times.