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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 486804098
Report Date: 02/26/2025
Date Signed: 02/27/2025 08:26:21 AM

Document Has Been Signed on 02/27/2025 08:26 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:INFINITI CARE HOME #3FACILITY NUMBER:
486804098
ADMINISTRATOR/
DIRECTOR:		DEVERA, ALEHAFACILITY TYPE:
735
ADDRESS:353 ARLINGTON CIRCLETELEPHONE:
(707) 673-2078
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY: 4CENSUS: 4DATE:
02/26/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:TIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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At approximately 10:45 AM, Licensing Program Analyst (LPA) Star Stevenson conducted an unannounced Annual Required inspection to this facility and met with Administrator Aleha Devera, and licensee Julie Martuscello. At approximately 11:00 AM, LPA toured the building and grounds which were found to be clean, warm and in good repair. LPA observed all walkways and exits to be unobstructed.
A good variety of foods were observed, including fresh fruits and vegetables, as well as, proteins. The amount of fresh and non-perishable foods was within regulation. Toxins are secure and not accessible to clients. Medication is centrally stored and secure. There is a sufficient supply of hygiene products and linens on hand for client use. Mattress pads were in place or available for client use. Water temperature measured within regulation between 105 and 120 degrees F at faucets accessible to clients. Facility has all posters up as required by title 22.
Fire extinguisher was last inspected 10/2024 and is fully charged. Smoke detectors were tested and found to be in working order. Carbon Monoxide detector was present. Disaster Drills are conducted quarterly with the last drill conducted 02/03/2025
Four (4) of 4 staff were found to be associated.
A small bedroom that is locked and not accessible to clients was observed to built in the garage, with bed, dresser, table, personal hygiene supplies, no smoke or carbon monoxide detector present in this garage room. (pictures taken)
No deficiencies . No citations issued during today’s visit.
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Star Stevenson
LICENSING EVALUATOR SIGNATURE: DATE: 02/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/26/2025
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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