Facility Evaluation Report

At approximately 9:15 AM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a required 1-year annual inspection and was greeted by staff (S1). Licensee was contacted at approximately 9:20 and informed LPA that Regyna Jackson-Branchcomb, Administrator was away at an appointment. Licensee stated they would come to the facility for today's inspection and arrived at approximately 10:10 AM. LPA waited in state vehicle and worked on paperwork until Licensee arrived. Administrator later arrived at 11:20 AM. Facility is an Adult Residential Facility with five (5) ambulatory clients in care. LPA was informed that three (3) clients left for Day Program; two (2) clients were present during visit. Facility is vendorized with North Bay Regional Center (NBRC).

At approximately 10:20 AM, LPA initiated a tour of the facility with Licensee 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 a supply of clean linens and paper products available to clients. Clients' bedrooms were inspected and observed to have 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 days of perishable food and one week of non-perishable foods, as well as an emergency water supply. Medications were centrally stored and locked. There is a deck and seating area in the backyard with outdoor space for activities. LPA observed an activity schedule and clients have games in their bedrooms. Facility has internet available to clients in care and the phone was tested an operational. Facility does not currently have an internet access device available to clients in care as it has been a documented problem in the facility in the past. LPA informed Administrator of the need to have a device available for client use. Administrator agreed to purchase one.

Facility's fire extinguisher was observed charged and was last serviced November 2023. Smoke and Carbon Monoxide detectors were tested and operational during inspection. Facility conducts regular monthly disaster drills, and the most recent drill was conducted August 2024.