Senior Care Records.

Facility Evaluation Report

Jerri's Adult Residential Facility, Hayward03/26/2026Licence 019200245

Capacity3
Census2
Date signed03/26/2026 03:45:13 PM
Name of licensing program analystAlicia Delmundo
Name of licensing program managerBennett Fong
The inspector’s account

On this day, March 26, 2026, at 1:40 pm, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with staff, Erich Solomon, and informed the reason for visit. Staff called Michael Wise, residential manager (RM), and informed him of LPA's presence. LPA called and spoke with Maria Ingco, administrator (ADM), over the phone. RM arrived at around 2:30 pm.

LPA toured the facility inside out with Erich Solomon. LPA inspected the kitchen, dining area, living and family rooms, 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 hygiene supplies for residents' use.

Facility has carbon monoxide and smoke detectors that were observed functional on this day. Fire extinguisher checked, observed fully charge with tag showed serviced January 29, 2025. LPA advise RM to have it service before the end of this month. Hot water temperature in one of the bathrooms was tested and measured at 113 degrees Fahrenheit. Facility conducts fire drill and records showed last conducted March 14, 2026.

LPA reviewed 4 staff and 2 residents records. Medications were checked and compared with doctor's order and LIC622 Centrally Stored Medication and Destruction Records. P&I were checked and compared with the last recorded balance.

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