Facility Evaluation Report

Licensing Program Analyst (LPA) A. Canela arrived at this facility unannounced, to continue the Annual Required 1 year inspection from 12/4/2023 and met with house manager, Estella Constantino; Christina Noblejas arrived a few minutes later. There are currently 5 clients living in the facility and they receive services from North Bay Regional Center. Facility is licensed for up to 6 Clients, of which 4 can be non-ambulatory and 2 will need to be ambulatory. No approval for bedridden residents. Facility has awake staff as there are no bedrooms for staff to sleep in.

During previous inspection, LPA went over bedroom # 2 that is only approved for Ambulatory clients. Licensee expressed she wanted to check with the fire department to see if that room could be used by non-ambulatory clients. The Vallejo fire inspector would be doing a visit to go over fire alarm corrections needed and she would address with them. LPA provided the forms needed to be submitted to the department, so that LPA could request a new fire clearance. LPA spoke with fire inspector MZ who expressed the facility has fire sprinklers and room #2 could be used for non-ambulatory but the room could only house 1 client. This would require the facility to change paperwork and decrease capacity from 6 to five clients. Facility decided not to request the change and would maintain their current licensed capacity of 6, of which 4 can be non-ambulatory and 2 will need to be ambulatory in room#2. LPA reached out to the fire inspector and explained the facility would be withdrawing their request and maintain their current status, there for the fire inspector would not receive a formal written request for a new fire clearance.

Facility was found to be at a comfortable temperature and all clients were out of the facility at day programs. Fire Extinguisher was found to be charged and inspected 5/11/2023. Toxins are stored and not accessible. Facility has PPE supplies. Client medications are secured and locked. Facility has a 30-day supply of medication. LPA consulted with facility and provided information for requesting all non-ambulatory clients. LPA went over the push door that was previously getting a little stuck and the facility has serviced the door and is working properly.