Facility Evaluation Report

At approximately 1:30 PM, Licensing Program Analyst (LPA) Star Stevenson arrived unannounced to BEGIN a required 1-year annual inspection and met by caregiver Carmencita Ladines and Joannalyn Agbayani, Designated Responsible Party (DRP). Facility is an Adult Residential Facility with three (3) ambulatory clients in care, all of whom were away at Day Program during today's initial inspection. Facility is vendorized with North Bay Regional Center (NBRC).

At approximately 1:45 PM, LPA initiated a tour of the facility with DRP 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 all of 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 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 shaded area in the backyard with outdoor space for activities. LPA observed a locked storage shed in the backyard which contained mostly chemicals and tools. LPA observed a large collection of old metal, bed frames, broken wood and a technical advisory was issued to ensure property is clean and safe for clients at all time. LPA was informed that all clients have their own internet access devices and the facility has internet available to clients in care. The facility telephone was tested an operational during today's inspection.