Facility Evaluation Report

At 12:20 PM on 1/21/2025, Licensing Program Analyst (LPA) Robert Frank and Licensing Program Manager (LPM) Victoria Bertozzi conducted an unannounced Annual Required – 1 yr. Inspection for this facility and was greeted by Heidi Noriesta and Administrator, Abby Carvajal. The facility currently provides care for four (4) clients, all of which were present 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 5/2024. 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 105 degrees F and 120 degrees F which is within Title 22 Regulations. Facility conducts and records emergency disaster drills monthly. The last disaster drill was conducted on 1/4/2024.

Medications are located in a designated closet in the dining area and found to be secured. A spot medication count was conducted for two (2) of four (4) clients and found to be in order along with properly documented centrally stored medication and administration records. LPA conducted a review of five (5) staff files and found all staff files reviewed to have 1st Aid & CPR certification and annual training on file. In addition, LPA reviewed four (4) of four (4) client records and found all documents including Needs & Service Plan, 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 client if accessible were found to be secured. Clients were observed to have a positive relationship with staff and found participating in activities or meetings during the visit. Personal and incidental (P&I) monies were counted for two (2) clients. LPA & LPM observed that there was one (1) instance where a P&I log was not current. An LIC9102 Technical Advisory was issued and discussed with the Administrator.