Senior Care Records.

Facility Evaluation Report

Gerrylaide Manor, Hayward09/30/2024Licence 019200867

Capacity32
Census16
Date signed09/30/2024 05:34:09 PM
The inspector’s account

At 3:10 pm on this day, September 30, 2024, Licensing Program Analyst (LPA) Delmundo arrived unannounced to continue the annual inspection that was started September 27, 2024. LPA called and spoke with Aidan Castrence, administrator (ADM), and informed the reason for visit. ADM arrived after about 5 minutes. ADM administrator certificate is current (certificate # 7002450735; expiration:11/16/25)

Facility conducts disaster drills and records showed last conducted August 22, 2024.

LPA reviewed 5 residents and 5 staff records. Residents medications were checked and compared with doctor's orders and LIC622 Centrally Stored Medication and Destruction Records. Residents P&I checked and compared with the last recorded balance.

-at 4:20 pm, resident (R2) has order for 1 medication, 300 mg morning; 400 mg bedtime, but the medication on hand is 300 mg twice daily.

Deficiency is cited from Title 22 California Code of Regulations and listed on 809D. Failure to submit proof of corrections by plan of correction due dates may result in additional civil penalty.

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

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