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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015600627
Report Date: 03/06/2025
Date Signed: 03/06/2025 05:41:52 PM

Document Has Been Signed on 03/06/2025 05:41 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME:REGAL HOMESFACILITY NUMBER:
015600627
ADMINISTRATOR/
DIRECTOR:		LUYON, REGINAFACILITY TYPE:
735
ADDRESS:24857 2ND STREETTELEPHONE:
(510) 299-4923
CITY:HAYWARDSTATE: CAZIP CODE:
94541
CAPACITY: 4CENSUS: 4DATE:
03/06/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:25 PM
MET WITH:Alvin Luyon/Staff and
Regina Luyon/Administrator		TIME VISIT/
INSPECTION COMPLETED:
05:45 PM
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On this day, March 6, 2025, at 3:25 pm, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection and met with staff, Jina Sunien and Alvin Luyon, and informed the reason for visit. LPA called and spoke over the phone with Regina Luyon, administrator (ADM) who gave permission to Alvin Luyon to be with LPA during inspection. ADM arrived after about 30 minutes.

LPA toured the facility inside out with Alvin Luyon. LPA inspected the living room, dining area, kitchen, bathroom, residents room, front, side and backyard. Food supplies were checked and observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications and cabinets for cleaning supplies and sharps were observed locked.

Facility has smoke and carbon monoxide detectors that were tested and observed in operating condition.Hot water temperature in the bathroom was tested and measured at 109.5 degrees Fahrenheit. Facility conducts disaster drills at least quarterly with fire and earthquake drills last conducted 1/03/25. Fire extinguisher checked, observed fully charge with receipt showed purchased on 10/15/24.

LPA reviewed 5 staff and 4 residents files. Medications checked, and compared with LIC622 Centrally Stored Medication and Destruction Records and doctor's orders. Residents' P&I checked and compared with last recorded balance.



.....continued on 809C
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Alicia Delmundo
LICENSING EVALUATOR SIGNATURE: DATE: 03/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/06/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME: REGAL HOMES
FACILITY NUMBER: 015600627
VISIT DATE: 03/06/2025
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Administrator to submit copies of the following updated/current documents by March 20, 2025:
1. LIC308 Designation of Facility Responsibility
2. LIC500 Personnel Report
3. LIC610D Emergency Disaster Plan (9 pages)
4. Proof of Surety Bond coverage

No deficiency cited during today's inspection.

Exit interview conducted and copy of this report provided.
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Alicia Delmundo
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2025
LIC809 (FAS) - (06/04)
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