Senior Care Records.

Facility Evaluation Report

Lady of Merced Care Home, INC., Hayward01/25/2022Licence 019200099

Capacity6
Census2
Date signed01/25/2022 12:14:11 PM
The inspector’s account

While at the facility for a complaint (Control # 15-AS-20220118105814) and waiting for Mercedita Lara (licensee) to arrive, Licensing Program Analyst (LPA) Delmundo observed the following in the backyard: ladder and soiled/wet dining chairs on the patio/deck; pails of paint and grout; old plastic roofing; dried twigs/tree branches on the ground; broken shopping cart; soiled Christmas decorations

Deficiency is cited from Title 22 Calfornia Code of Regulations (see 809D). Failure to submit proof of correction by plan of correction due date and any repeat violations within 12 month period may result in civil penalty.

Deficiency and plan and proof of correction were discussed with Geraldine Lara (administrator) over the phone in the presence of Mercedita Lara.

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

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