<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 075600966
Report Date: 10/25/2023
Date Signed: 10/25/2023 03:51:25 PM


Document Has Been Signed on 10/25/2023 03:51 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
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612



FACILITY NAME:BETTER LIVING OF WALNUT CREEKFACILITY NUMBER:
075600966
ADMINISTRATOR:GALERA, RUDOLPHFACILITY TYPE:
740
ADDRESS:1868 DANIELLE CTTELEPHONE:
(925) 938-8820
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94598
CAPACITY:6CENSUS: 6DATE:
10/25/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Licensee Rudy GaleraTIME COMPLETED:
04:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 10/25/2023 at 9:25 AM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced to conduct an annual inspection. Upon arrival, LPA explained the purpose of the visit to Caregivers Celia Ewatel and Ricardo Cosico. Licensee Rudy Galera arrived at approximately 10:15 AM.

During the Inspection, the LPA inspected the facility inside and outside. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 68 degrees Fahrenheit. The LPA observed that the lighting in all rooms is adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detector were in operating conditiont. Fire extinguishers was observed to be fully charged. First aid kit was observed to be incomplete.

LPA interviewed 2 staff members and 2 residents, and reviewed the records of 5 staff and 5 residents.

2 Type-B citations from Title 22 and/or Health and Safety Code of the California Code of Regulations were issued. Failure to correct deficiencies by the Plan Of Correction (POC) date may result in Civil Penalties. For details of the citations, refer to the LIC809-D form.

Exit interview conducted with Caregiver Celia Ewatel. Appeal Rights and a copy of this report provided via email to the Licensee.
SUPERVISOR'S NAME: Bennett FongTELEPHONE: (510) -62-2621
LICENSING EVALUATOR NAME: James SampairTELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:
DATE: 10/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/25/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


Document Has Been Signed on 10/25/2023 03:51 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612


FACILITY NAME: BETTER LIVING OF WALNUT CREEK
FACILITY NUMBER: 075600966

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/25/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
87465(a)(8)
Incidental Medical and Dental Care Services
(8) If a facility has no medical unit on the grounds, a complete first aid kit shall be maintained and be readily available in a specific location in the facility. The kit shall be a general type approved by the American Red Cross, or shall contain at least the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, the licensee did not comply with the section cited above in 1 out of 1 first aid kits, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/01/2023
Plan of Correction
1
2
3
4
Licensee shall attest to LPA that they have gotten a complete first aid kit and retrained ALL staff members in the importance of maintaining a FULL kit that that has been approved by the American Red Cross, or shall contain AT LEAST the following: (A) A current edition of a first aid manual approved by the American Red Cross, the American Medical Association or a state or federal health agency, (B) Sterile first aid dressings, (C) Bandages or roller bandages, (D) Scissors, (E) Tweezers, and (F) Thermometers.
Type B
Section Cited
CCR
87705(c)(5)
Care of Persons with Dementia
(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of the resident's dementia care needs.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in 3 out of 6 residents with dementia, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/01/2023
Plan of Correction
1
2
3
4
Licensee shall schedule all residents with dementia their annual medical assessment and attest to LPA that has been completed.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Bennett FongTELEPHONE: (510) -62-2621
LICENSING EVALUATOR NAME: James SampairTELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:
DATE: 10/25/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/25/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2