Senior Care Records.

Facility Evaluation Report

Good Shepherd of Dublin, the, Dublin08/15/2025Licence 019200847

Capacity6
Census6
Date signed08/15/2025 02:42:06 PM
Name of licensing program analystArdalan Gharachorloo
Name of licensing program managerYvonne Flores-Larios
The inspector’s account

On 08/15/2025 at 12:40, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Brando Benedito and explained the purpose of the visit.

LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 71 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 117.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents.

Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 03/17/2025. Emergency Disaster Plan was last posted on 07/04/2025. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 07/04/2025.

LPA reviewed 5 residents records and 5 staff records; all were complete. LPA also reviewed a sample of 4 resident’s medications. Copies of the following documents were reviewed during the visit:LIC 308 Designation of Administrative Responsibility,LIC 500 Personnel Report, LIC 610E Emergency Disaster Plan, Liability Insurance, and Renewed Current Administrator’s Certificate.

No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction