Facility Evaluation Report

At approximately 12:50 PM, Licensing Program Analyst (LPA) Elias Magdaleno arrived unannounced to conduct a required 1-year annual inspection and was greeted by staff. Administrator Shiela May Alonzo was contacted and arrived at approximately 1:00 PM. Facility is an Adult Residential Facility (ARF) with three (3) clients in care. Client 1 (C1) and Client 2 (C2) were present during today's visit. LPA was informed that Client 3 (C3) was away at Day Program. Facility is serviced by vendor North Bay Regional Center (NBRC).

At approximately 1:00 PM, LPA initiated a tour of the facility with Administrator and observed the following: Facility is a one (1) story home, was a comfortable temperature, and passageways were free from obstructions. Facility's fire extinguisher was observed charged and last serviced 5/25. Smoke and Carbon Monoxide detectors were tested and operational during inspection. Water temperatures in client bathrooms read at 109.7 degrees F which is within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens, hygiene, and paper products available for clients. Clients' bedrooms were inspected and observed to have all the appropriate furnishings as outlined in Title 22 regulation. Cabinets containing cleaning supplies and other items that could pose a risk were locked. Facility has at least two (2) days of perishable food and seven (7) days of non-perishable foods, as well as an emergency water supply. Facility has an internet access devise and internet available to clients in care, and the phone was tested and operational during today's inspection.

There is a shaded seating area in the backyard with outdoor space for activities. LPA observed one (1) locked shed in the backyard which was inspected and was found to be used as additional storage. One (1) locked container was observed to be used as storage for plastic recycling.