Facility Evaluation Report

On 2/26/2025 Licensing Program Analyst (LPA) Araceli Canela arrived to this home to conduct a pre-licensing inspection. LPA was greeted by Applicant/Administrator, Sheila Alonzo. The facility is a 4 bedroom, 2 bathroom, single story house. Three bedrooms and one bathroom are for client use and one bedroom and master bathroom are for staff use. LPA toured the entire premise which was found to be clean and orderly. Fire extinguisher was recently purchased on 5/23/2024. Smoke detectors and Carbon monoxide detector were tested and found to be in working order. Medications, facility files and emergency supplies are stored in a secured closet located in the living room area. Toxins and cleaning supplies are secured in locked cabinets in the kitchen the garage. Sharps and knives are also found to be secured in a locked cabinet in the kitchen.

LPA observed at least a minimum of a 2 day supply of perishable and 7 day supply of non-perishable food necessary for 3 clients. An additional pantry is located in a hallway closet.

Bedrooms have the required furnishings, such as a bed, night stand, chest of drawers, closet space, chair and a lamp. Beds have appropriate linens and home has extra linens available in linen closet. Hot water temperature is within regulation between 105 degrees F and 120 degrees F.

A fire clearance for this home was granted for 3 ambulatory clients, by the Vallejo Fire Department on December 23, 2024.

Component III orientation was conducted with the Applicant/Administrator, Sheila Alonzo.

The pre-licensing evaluation has been completed and there are no corrections needed. LPA will send report to the Application Specialist.