Routine inspection·December 7, 2023

On 12/7/2023 at approximately 10:15 am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct an annual required inspection. LPA met with Jonas Depasupil, Administrator. The facility is a Level 4C home vendorized by the Regional Center of the East Bay (RCEB). The facility has an approved fire clearance for six non ambulatory clients. LPA with Depasupil inspected the facility inside and out including but not limited to three client bedrooms, two bathrooms, kitchen, common areas, garage and backyard. All outdoor and indoor passageways are kept free of obstruction. There were no bodies of water observed. LPA observed medications were locked in a cabinet in the hallway. Chemicals were locked in the garage. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Hot water temperature in the kitchen was measured at 116 degrees Fahrenheit. All toilets, hand washing and bathing are safe, sanitary and in operating condition. Hygiene items, extra linens and toiletry supplies were checked and observed sufficient. Fire extinguisher was last serviced on 12/15/22, smoke detectors and carbon monoxide were operational. Last fire drill was conducted on 8/30/23. First aid kit was inspected and observed complete. Food supplies were sufficient to meet 2-day perishable and 7-day non-perishable requirements. At 11: 30 am LPA reviewed five(5) client files and four (4) staff files. All staff have criminal record clearance and are associated to the facility. At 1pm, P&I monies were reviewed with the Administrator. Facility was unable to provide surety bond during the visit. continuation on Lic 809C Administrator states that the facility has a $5,000 surety bond and will submit a copy to LPA with Lic 400 by Dec 8, 2023. The following deficiencies were observed: at around 10:40am, LPA observed screen doors ripped or have tiny holes last fire drill was conducted on August 30, 2023 The following forms were provided to LPA during the visit: LIC 308 Designation of Administrative Responsibility LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Copy of liability insurance Car insurance/registration/copy of driver's license Deficiencies were cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies and/or repeat deficiencies within a 12-month period may result in civil penalties. Exit interview was conducted with Depasupil. Appeal Rights and a copy of this report were provided.