Facility Evaluation Report

Gerrylaide Manor III, Hayward02/09/2024Licence 019200868

Capacity6
Census1
Date signed02/09/2024 07:26:26 PM
The inspector’s account

At 4:00 p.m. on this day, February 9, 2024, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with staff, Bernardo Budol, and informed the reason for visit. LPA called and spoke over the phone with Aidan Castrence, administrator. Administrator stated he can not come to the facility and authorized Angel Riley, staff, to sign and receive this report. Angel Riley arrived at around 4:15 p.m.

Administrator submitted the facility's Infection Control Plan which LPA received on March 14, 2023.

LPA started the inspection with Bernardo Budol and continued with Angel Riley. LPA inspected the kitchen, dining area, living room, bedrooms, bathrooms, side yard and backyard. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications and storage for cleaning supplies were observed locked.

Facility has carbon monoxide and smoke detectors that were tested, and observed functional. Facility conducts drills at least every quarter, and records showed last conducted January 18, 2024. Fire extinguisher checked, observed fully charge with tags showed serviced December 5, 2023. Hot water temperature was tested in one of the bathrooms and measured at 116 degrees Fahrenheit.

Administrator to submit the following current/updated documents by February 23, 2024:

1. LIC308 Designation of Facility Responsibility

3. LIC610D Emergency Disaster Plan (9 pages)

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