Senior Care Records.

Facility Evaluation Report

Arleen's Residential Care Facility #5, Hayward04/11/2024Licence 015600305

Capacity6
Census6
Date signed04/11/2024 02:22:51 PM
The inspector’s account

During a complaint investigation while conducting file reviews, LPAs came across Client 1 (C1) who is diabetic. LPAs interviewed S1 and was informed by S1 that C1 refuses to check own blood sugar. S1 states staff check C1’s blood sugar.

Per California Code of Regulations, Title 22, and listed on LIC 9099D. Failure to submit Proof of Corrections (POC's) by Plan of Correction date may result in civil penalties.

Exit interview was conducted with Katelyn Salvador who was authorized by the Administrator to sign the report.

A copy of this report and Appeal Rights were provided to Salvador.

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