Facility Evaluation Report

On 12/1/2023, Licensing Program Analyst (LPA) Tobola conducted an unannounced Annual Required – 1 yr. Inspection for this facility and was greeted by Lead Staff, Rolando Manansla. The facility currently provides care for 1 client, who was attending day program at the time of visit. LPA continued with a tour of the facility with staff. Client’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguishers were found to be last charged on 1/26/2023. Smoke and carbon monoxide detectors were interconnected found throughout the facility, tested and to be in working order. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were stored properly as per regulations on this day at the time of the visit. Water at faucets accessible to clients was measured between 107.0 and 111.2 degrees F which is within Title 22 Regulations.

Facility conducts and records emergency disaster drills on a monthly basis. Medications are located in a designated cabinet in the kitchen area and found to be secured. A spot medication count was conducted for client and found to be in order along with properly documented centrally stored medication records. LPA conducted a review for staff files and found all staff to have 1st Aid & CPR certification and annual training on file. In addition, LPA reviewed client record and found all documents including Needs & Service Plan, North Bay Regional Center Individual Program Plans and Physician's Reports to be current. Client attending day program is currently provided transport to and from the facility directly from the day programs. There is a sufficient supply of linens, hygiene product and paper products available for client use.

In addition, LPA conducted a follow up on an incident report involving client C1 in a physical altercation with another house mate C2. The facility has been in contact with NBRC and C2's family determining that C2 is not compatible with the facility. LPA was informed that C2 was found other placement and has been safely relocated.