Facility Evaluation Report, 09/21/2022 — Good Shepherd of Dublin, the, Dublin CA

Facility Evaluation Report

Good Shepherd of Dublin, the, Dublin09/21/2022Licence 019200847

Capacity6

Census6

Date signed09/21/2022 03:29:16 PM

The inspector’s account

On 9/21/2022 at 12:50PM, Licensing Program Analysts (LPAs) G. Luk and M. Malik arrived unannounced to conduct a POC (proof of correction) inspection. LPAs met with caregiver, Ofelia Calderon.

Facility has the following deficiency that was not cleared :

- 87205(a); Both LPA G. Luk and Audit Department have not received documents. POC was due on 9/16/2022 and licensee have not provided the documents.

Civil Penalties in the amount of $500 is assess today for the period of 9/17/2022 to 9/21/2022 for failure to meet POC date for deficiency 87205(a). Facility is subject to ongoing civil penalties until deficiency is corrected.

Exit interview conducted. A copy of this report and appeal rights provided.

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