Facility Evaluation Report

Gerrylaide Manor III, Hayward11/08/2023Licence 019200868

Capacity6
Census3
Date signed11/08/2023 04:36:50 PM
The inspector’s account

While at the facility for other reason and upon review of documents and interviews, Licensing Program Analyst (LPA) Delmundo observed the following:

1. Staff (S1) is fingerprinted and cleared but not associated to this facility.

2. Staff (S2) does not have first aid training

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 violation within 12-month period may result in civil penalty.

Deficiencies and plan and proof of corrections were discussed with administrator over the phone in the presence of Angel Riley, staff.

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

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