075601062-4-19-2023-15-AS-LAWN-CR332A-20230419175137

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 075601062
Report Date: 04/19/2023
Date Signed: 04/19/2023 05:51:57 PM

Document Has Been Signed on 04/19/2023 05:51 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
E BAY DELTA AC/SC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME:	BETTER LIVING CARE HOME		FACILITY NUMBER:	075601062
ADMINISTRATOR:	GALERA, ANABELLE & RUDOLPH		FACILITY TYPE:	740
ADDRESS:	106 VIVIAN DRIVE		TELEPHONE:	(925) 674-8820
CITY:	PLEASANT HILL	STATE: CA	ZIP CODE:	94523
CAPACITY:	8	CENSUS: 7	DATE:	04/19/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:42 PM
MET WITH:	Rudolph Galera, Administrator		TIME COMPLETED:	06:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 04/19/2023 at 1:42 PM, Licensing Program Analysts (LPAs) L. Alexander and L. Hall arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Caregiver , Liza Sanchez and explained the purpose of the visit. The Administrator, Rudolph Galera arrived approx. 2:09 PM. The facility’s fire clearance was approved for 8. LPAs toured facility with Liza including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 10 total bedrooms which 8 bedrooms are occupied by the residents and 2 bedrooms is occupied by staff. The facility consists of 4 bathrooms which 3 bathrooms are located downstairs for residents and 1 bathroom upstairs for staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 71 degrees Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 107.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 10/06/2022. Emergency Disaster Plan was last posted on 08/02/2022 . First aid kit was observed to be complete. Emergency disaster drill was last conducted on 01/05/2023. LPA reviewed 5 of 7 residents records. LPA reviewed 4 staff records and 4 of 4 have current first aid training and associated to the facility.

SUPERVISOR'S NAME: Bennett Fong	TELEPHONE: (510) 725-7919
LICENSING EVALUATOR NAME: Lori Alexander-Washington	TELEPHONE: (510) 285-3934
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2023

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
E BAY DELTA AC/SC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: BETTER LIVING CARE HOME	FACILITY NUMBER: 075601062
	VISIT DATE: 04/19/2023

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Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 04/26/2023:

LIC 308 Designation of Administrative Responsibility
LIC 309 Administrative Organization
LIC 500 Personnel Report
LIC 610E Emergency Disaster Plan
Liability Insurance
Current Administrator’s Certificate
Updated Facility Sketch
Infection Control Plan
Resident's Roster
Updated Fire Clearance
Copy of Permit

No deficiencies cited during inspection.

Exit interview conducted. Copy of this report provided.

SUPERVISOR'S NAME: Bennett Fong	TELEPHONE: (510) 725-7919
LICENSING EVALUATOR NAME: Lori Alexander-Washington	TELEPHONE: (510) 285-3934
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2023

LIC809 (FAS) - (06/04)

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