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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 486801953
Report Date: 06/30/2022
Date Signed: 06/30/2022 12:40:30 PM

Document Has Been Signed on 06/30/2022 12:40 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:RICHARD'S HAPPY HOMEFACILITY NUMBER:
486801953
ADMINISTRATOR:TROY RICHARDFACILITY TYPE:
735
ADDRESS:254 DONEGAL COURTTELEPHONE:
(707) 448-2838
CITY:VACAVILLESTATE: CAZIP CODE:
95688
CAPACITY: 6CENSUS: 4DATE:
06/30/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:16 AM
MET WITH:Ocie Richard, LicenseeTIME COMPLETED:
12:50 PM
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Licensing Program Analyst (LPA), Walters and IB investigator, Brianna Abeyta arrived unannounced to conduct a Required 1-year annual inspection and was greeted by Administrator/Licensee, Ocie Richard and Administrator, Troy Richard arrived later. At the time of inspection there was one staff providing care and supervision two clients, the other two clients were in day program. This inspection will focus on the infection control of this facility.

LPA, BA and OR toured the facility to ensure that COVID-19 protocols were in place and made the following observations: The facility was clean and a comfortable temperature. LPA observed that a sign in policy has been enacted: which consisted of a sign in sheet, thermometer and screening questions. Hand sanitizer and extra disposable mask were available for visitors. Signs were posted at the entry and throughout the facility to promote hand washing, social distancing and droplet precaution. Per the Administrator the facility is disinfected daily. Signs were posted in the bathrooms. Bathrooms were equipped with non-slip mats and grab bars. All clients have their own hand washing supplies.

Clients are monitored for COVID-19 symptoms throughout the day and upon returning to the community. Clients temperatures are recorded for later viewing. Facility has developed activities to keep the clients engaged. Facility organizes transportation for medical services and activities. Bedrooms were furnished as required per regulation.

LPA reviewed 5 staff records which included staff's vaccine information and Personal Protective Equipment and infection control training's were also documented in staff files. All client vaccine information are stored in their binders. Facility has at least 30 day supply of incontinence and personal protective equipment. LPA and BA observed that the facility has began constructing on an existing shed. LPA advised that they submit copies of permits, facility sketch and facility plan by 7/6/22.
No deficiencies cited during today's inspection.
SUPERVISORS NAME: Hope DeBenedetti
LICENSING EVALUATOR NAME: Katrina Walters
LICENSING EVALUATOR SIGNATURE: DATE: 06/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/30/2022
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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