Facility Evaluation Report

At approximately 9:20 AM, Licensing Program Analyst (LPA) Elias Magdaleno arrived unannounced to conduct a required 1-year annual inspection and was greeted by Caregiver. House Manager Maria Luis Gueco was contacted and arrived at approximately 9:40 AM. Facility is an Adult Residential Facility (ARF) with four (4) clients in care. Two (2) clients were present during today's visit. LPA was informed that two (2) clients were away at Day Program. Facility is serviced by vendor North Bay Regional Center (NBRC).

At approximately 10:10 AM, LPA initiated a tour of the facility with House Manager and observed the following: Facility is a one (1) story home, was a comfortable temperature, and passageways were free from obstructions. Facility's fire extinguisher was observed charged and last serviced 5/25. Smoke and Carbon Monoxide detectors were tested and operational during inspection. Water temperatures in client bathrooms read at 111.2 degrees F and 111.3 degrees F which is within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens, hygiene, and paper products available for clients. Clients' bedrooms were inspected and observed to have all the appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked. Facility has at least two (2) days of perishable food and seven (7) days of non-perishable foods, as well as an emergency water supply. Facility has an internet access devise and internet available to clients in care, and the phone was tested and operational during today's inspection. There is a shaded seating area in the backyard with outdoor space for activities. LPA observed a secondary building in the backyard used as staff room/live in staff quarters.