Facility Evaluation Report

Licensing Program Analyst (LPA) Araceli Canela arrived unannounced to conduct a Case Management visit regarding an increase of capacity request by this facility. LPA met with, facility manager, Renato Yamat and toured this facility. There are currently 5 residents in care, with one receiving Hospice services. Community Care licensing (CCL) received a fire clearance approval from the Vallejo Fire department on 11/22/2022 for a total of 7 Non-ambulatory residents. This facility is now licensed for a total of 7 residents, with a hospice waiver to allow 6 residents on Hospice services and no approval for bedridden residents/rooms.

LPA toured facility and grounds, which were observed to be at a comfortable temperature with all exits free from obstruction. Facility has at least two days of perishable and one week of non-perishable foods and items are stored properly. Fire Extinguisher was found to be charged and serviced 1/11/2022.

Exit interview conducted with Renato Yamat. No deficiencies cited during this inspection.