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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 486804047
Report Date: 09/01/2022
Date Signed: 09/01/2022 01:07:14 PM


Document Has Been Signed on 09/01/2022 01:07 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:BRIGHT QUEST CARE HOMEFACILITY NUMBER:
486804047
ADMINISTRATOR:AQUINO, RHENZFACILITY TYPE:
740
ADDRESS:1417 PROSPECT WAYTELEPHONE:
(707) 386-3888
CITY:SUISUN CITYSTATE: CAZIP CODE:
94585
CAPACITY:4CENSUS: 4DATE:
09/01/2022
TYPE OF VISIT:Post LicensingUNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Arnel SilverioTIME COMPLETED:
01:17 PM
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Licensing Program Analyst (LPA) Katrina Walters conducted an unannounced Post licensing inspection of this licensed senior care facility. LPA was initially greeted by caregiver. Licensee, Arnel Silverio was contacted and arrived later. LPA toured the building and grounds which were found to be clean and in good repair. The current facility census is 3. One client was away at day program and arrived later. 2 of 3 clients were engaged in activities.

The amount of fresh and nonperishable foods is within regulation. Toxins are stored in a locked cabinet under the sink and are therefore inaccessible to clients in care. Medications are centrally stored in a locked cabinet. There was an ample supply of cleaners, PPE, hygiene products and paper products available for residents. Bathrooms were equipped with necessary grab bars and non-slip floors/mats. All bedrooms have lighting & appropriate furnishings. Exit alarms on exit doors were working properly. Smoke detectors were tested and appeared to be operational. Fire Extinguisher was last serviced 07/21/2022.

At primary entrance LPA observed temperature log and visitor sign in sheet. LPA observed COVID postings and hand sanitizer throughout facility. LPA requested that the facility sends current copy of Liability Insurance and current LIC 500 to Santa Rosa Community Care Licensing attention Katrina Walters.

Exit interview conducted with Licensee Arnel Silverio. LPA was unable to print. Report was emailed to administrator/licensee.

No deficiencies cited during this inspection.
SUPERVISOR'S NAME: Hope DeBenedettiTELEPHONE: (707) 588-5059
LICENSING EVALUATOR NAME: Katrina WaltersTELEPHONE: (707) 588-5057
LICENSING EVALUATOR SIGNATURE:
DATE: 09/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/01/2022
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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