Facility Evaluation Report

At approximately 9:20 AM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a pre-licensing inspection and was greeted by Licensee/Applicant, Rose Marie B. Devera. This pre-licensing inspection is being conducted for an initial licensing of an Adult Residential Facility (ARF). Fire Clearance has been approved for 4 non-ambulatory clients. Licensee/Applicant is currently in partnership with North Bay Regional Center (NBRC) and plans for client placement upon issuance of license.

At approximately 9:30 AM, LPA initiated a tour of the facility and observed the following: Facility is a two 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 client showers with the required non-slip mats, but were missing grab bars. Licensee/Applicant had them installed before the conclusion of today's inspection. LPA observed a supply of clean linens, hygiene products, incontinent care products, and paper products available to clients. Hallways are equipped with night lights and clients' bedrooms have all the appropriate furnishings as outlined in Title 22 regulations. All client bedrooms are located on the second floor and each is equipped with an intercom which allows client communication to a central receiver located downstairs in the dining area.

There is a sufficient amount of dishes and cooking supplies for client use with sharps and other hazardous items kept secured in various designated drawers and cabinets as well as under the kitchen sink. Cabinets in communal areas of the facility containing cleaning supplies and other items that could pose a risk were observed locked. However, LPA observed toxic chemicals in the unlocked garage, which Licensee/Applicant removed and secured immediately. Facility has at least two days of perishable foods, one week of non-perishable foods, and an emergency water supply. LPA observed a sample menu posted in the common area to indicate a healthy and balanced set of meals for clients in care.