Facility Evaluation Report

God's Grace, Hayward06/26/2024Licence 015600382

Capacity23
Census21
Date signed06/26/2024 04:43:34 PM
The inspector’s account

On this day, June 26, 2024, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct a health and safety inspection as a result of the Department receiving a priority 1 complaint (Complaint # 15-AS-20240620142927). LPA met with Joseph Crisol. administrator, and informed the reason for visit.

LPA toured the facility inside out with the administrator. LPA inspected the common areas, sitting/reception area, dining room, kitchen, bathrooms/shower rooms, front, side and backyards. LPA randomly selected 7 bedrooms for inspection.

-at 3:30 p.m., Febreze freshner in the residents' room.

Deficiency is cited from Title 22 California Code of Regulations and listed on 809D. A $250,00 civil penalty is assessed for repeat violation of section 80087(g) within 12 month period. Failure to submit proof of correction by plan of correction due date may result in additional civil penalty.

Deficiency, plan and proof of correction and civil penalty were discussed with the administrator,

Exit interview conducted. Appeal Rights, LIC421FC Civil Penalty Assessment and LIC9098 Proof of Correction form, and copy of this report provided.

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