Senior Care Records.

Complaint Investigation Report

Colonial Acres Residential Care Home, Hayward03/21/2024Licence 019200664

Census12
Date signed03/21/2024 06:51:46 PM
The inspector’s account

RP stated several attempts were made starting from February 2, 2024 to March 5, 2024 requesting for R1's documents. Requests via mail and e-mails were made with signed authorization from FM to release the documents to RP. Phone calls were also made by RP, and licensee has not responded to the request. LPA interviewed FM who confirmed she signed the document for the release of the documents to RP.

LPA interviewed S1 and S2 who confirmed receiving calls and/or emails from RP and licensee was informed. Licensee stated he received the request but has not responded to the request and emails nor returned RP's calls.

Based on information obtained, the preponderance standard has been met, therefore the allegation of "Licensee not providing prompt access to or photocopies of resident (R1) records" is substantiated.

Deficiency is cited per Title 22 California Code of Regulations, and listed on LIC9099D. Failure to submit proof of correction by plan of correction due date, and any repeat violation within 12 month period may result in civil penalty.

Deficiency and plan and proof of correction were discussed with the licensee.

Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.

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