Facility Evaluation Report

At approximately 12:10 PM, Licensing Program Analyst (LPA) Magdaleno arrived unannounced to conduct a required 1-year annual inspection and was greeted by Designee Estella Constantino. LPA was informed Administrator was currently out and a voicemail was left by LPA to inform Administrator of visit. Facility is an Adult Residential Facility (ARF) with four (4) clients in care. LPA was informed all clients were away at Day Program. Facility has a fire clearance for four (4) non-ambulatory and two (2) ambulatory clients. Facility is serviced by vendor North Bay Regional Center (NBRC).

At approximately 12:20 PM, LPA initiated a tour of the facility with Designee 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 within the allowable range of 105 to 120 degrees F per Title 22 regulations (no deficiency cited). 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 a monthly schedule that included karaoke, zumba, cooking, community outings, and games. LPA observed supplies for arts and crafts as well as board games.