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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 577003433
Report Date: 10/25/2022
Date Signed: 10/25/2022 10:44:42 AM

Document Has Been Signed on 10/25/2022 10:44 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
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:TROPICAL VILLA-ARFFACILITY NUMBER:
577003433
ADMINISTRATOR:ALMARIO, ALMA Z.FACILITY TYPE:
735
ADDRESS:1334 VIENTO LANETELEPHONE:
(530) 662-3496
CITY:WOODLANDSTATE: CAZIP CODE:
95695
CAPACITY: 6CENSUS: 6DATE:
10/25/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Alma Almario, AdministratorTIME COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct an Annual Inspection focusing on Covid-19 guidelines. Covid-19 Infomational Postings were on the front door and throughout the house.

Administrator Alma Almario received LPA at the door, taking temperature. Administrator then took LPA on a tour of the facility. There are 6 residents. All are participating in day programs either on line or in the community. Residents help with chores and participate in daily living activities, including caring for 2 small dogs. The residents also go the gym, go on walks, and participate in planning activities/meals for the facility. The Administrator utilizes a small speaker when talking to the residents to make sure all the residents can hear.

There is a hard-wired fire alarm system and 1 carbon monoxide detector. There is also a fire extinguisher, last serviced 09/14/2022. The water temperature measured 112.1 F.

There was a month's supply of PPE and covered trash bins in case of isolation and quarantine of resident/s. There was also a month's supply of medications for each resident, which is stored in a locked medication cabinet.

Each staff person has a valid First Aid/CPR card.

No deficiencies during today's inspection.
No citations issued.
Exit interview conducted with the Administrator.
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Jill Nakagawa
LICENSING EVALUATOR SIGNATURE: DATE: 10/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/25/2022
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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