Facility Evaluation Report

Gerrylaide Manor III, Hayward06/09/2022Licence 019200868

Capacity6
Census4
Date signed06/09/2022 06:00:19 PM
The inspector’s account

While at the facility for other reason, Licensing Program Analyst (LPA) Delmundo observed in the presence of staff, Milagros Opolento, Jesus Guinto and Rodrigo Tadeo, several flies flying around inside the facility. LPA also observed the screen door by the dining room broken. LPA spoke with Aidan Castrence, administrator, over the phone, and discussed what LPA observed. LPA informed that citations will be issued. Aidan Castrence authorized Milagros Opolento to sign and receive this report.

Deficiencies are cited from Title 22 California Code of Regulations and listed on 809D. Failure to submit proof of corrections by plan of correction due dates and any repeat vioalation within 12-month period may result in civil penalties.

Deficiencies and plan and proof of corrections were discussed with Aidan Castrence over the phone.

LIC9098 Proof of Correction form, Appeal Rights and copy of this report provided to Milagros Opolento.

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