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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 486801055
Report Date: 01/06/2025
Date Signed: 01/06/2025 01:51:10 PM

Document Has Been Signed on 01/06/2025 01:51 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
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:TWIN RESIDENTIAL CARE HOMEFACILITY NUMBER:
486801055
ADMINISTRATOR/
DIRECTOR:		ALMONIA, SONIA G.FACILITY TYPE:
735
ADDRESS:129 COLERIDGE DR.TELEPHONE:
(707) 644-1961
CITY:VALLEJOSTATE: CAZIP CODE:
94591
CAPACITY: 6CENSUS: 5DATE:
01/06/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:45 AM
MET WITH:Sonia Almonia, Administrator/LicenseeTIME VISIT/
INSPECTION COMPLETED:
02:10 PM
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On 01/6/2025, Licensing Program Analyst (LPA) Araceli Canela arrived at the facility unannounced to conduct an annual Required 1yr- inspection. LPA met with co-licensee, Henry Almonia and administrator/co-licensee, Sonia Almonia arrived a few minutes later. LPA explained the purpose of the visit. This home is licensed for 6 non-ambulatory clients.

LPA Canela and administrator toured the facility together to ensure the health and safety of clients in care. Areas toured include but are not limited to five (5) client rooms, common areas, two (2) bathrooms, kitchen, storage areas and back yard. In the areas toured no immediate health, safety, or personal rights violations were observed.


Common area was clean and in good repair. All bedrooms had required furniture and bedding. Bathrooms were clean and in good repair. Kitchen was clean and in good repair. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food.

The first aid kit is fully stocked and ready for emergency use. Fire extinguisher fully charged and last service on 11/5/2024. Smoke detectors and carbon monoxide detector are operational. Hot water temperature measured within required Title 22 regulations of 105 degrees F and 120 degrees F (116 F). All employees requiring background checks are cleared. All required postings are displayed within facility. No pools/bodies of water are on premises. No firearms are on premises. Last disaster drill was conducted and documented on 1/3/2025, the facility has been conducting drills every 3 months.

Staff and client files were reviewed and found complete and organized. Staff have proof of 1st aid expiring 12/2/2026. A sample of medications were also reviewed. Medication is locked in a locked closet. Administrator certificate for Sonia Almonia is current, (cert #6024041735 exp. 03/24/2025).

Continue report see LIC809-C
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Araceli Canela
LICENSING EVALUATOR SIGNATURE: DATE: 01/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/06/2025
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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: TWIN RESIDENTIAL CARE HOME
FACILITY NUMBER: 486801055
VISIT DATE: 01/06/2025
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 Licensee/Administrator to submit the current following documents by 1/30/2025:

· LIC 308 Designation of Facility Responsibility
· LIC 500 Personnel Report
· LIC 610E Emergency Disaster Plan
· LIC 9020 Register of Facility Residents
Infection Control Plan of Operation (If changes)
Copy of Surety Bond

The facility is in compliance. No deficiencies are being cited as a result of today’s inspection.

Exit interview conducted and copy of report was emailed to administrator, Sonia Almonia.
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Araceli Canela
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2025
LIC809 (FAS) - (06/04)
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