Senior Care Records.

Facility Evaluation Report

K & J Residential Care Home-hayward, Hayward01/05/2022Licence 019201086

Capacity5
Census0
Date signed01/05/2022 12:11:32 PM
The inspector’s account

Licensing Program Analyst (LPA) Delmundo conducted an announced pre-licensing re-inspection and met with Elton Brown, administrator.

License application was reduced from six (6) total capacity to five (5), all non-ambulatory. Perimeter fence was installed after the initial pre-licensing inspection on September 14, 2021. Facility was re-inspected by the fire department and fire clearance was granted on December 20, 2021.

LPA toured the facility with administrator. All deficiencies observed during initial pre-licensing inspection have been corrected except the posting of Theft and Loss Policy. LPA observed tile on the front yard not leveled.

Administrator to do the following and submit pictures by Friday, January 7, 2022.

1. Post facility's Theft and Loss Policy.

LPA discussed the requirement for N95 respirator fit testing of staff. LPA and administrator agreed that prior to admission of first resident(s), staff will be fit tested and record to be submitted to LPA.

Exit interview conducted and copy of report provided.

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