Facility Evaluation Report

On 5/8/2025, Licensing Program Analyst (LPAs) Deniz and Felias conducted an unannounced Annual Required – 1 yr. Inspection for this facility and was greeted by Staff, Justine Reja. Administrator, Montel Jennings arrived during visit at approximately 10:00AM. The facility currently provides care for 3 clients. Upon arrival, LPAs were informed that there were 5 staff members on site.

LPAs reviewed facility staff roster and found that all staff on-site were background cleared and associated to the facility per regulation. LPAs continued with a tour of the facility with staff, Justine Reja. Client’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguishers were found to be last charged on 5/22/2024. 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 were measured between 114.2- and 113.5-degrees F which is within Title 22 Regulations. Facility conducts and records emergency disaster drills once per month. Facility has supplies enough to operate for more than 72 hours in an emergency.

LPAs conducted a review for staff files and found all staff to have 1st Aid & CPR certification and annual training on file. In addition. At approximately at 11:30AM LPA reviewed 3 of 3 client record and found all documents including North Bay Regional Center Individual Program Plans and Physician's Reports to be current. There is a sufficient supply of linens, hygiene product and paper products available for client use. Items that could pose danger to clients if accessible were found to be secured. Facility van was inspected and found to have appropriate emergency safety items including first aid kit and fire extinguisher. Clients were observed to have a positive relationship with staff and found participating in activities or meetings during the visit.