Senior Care Records.

Complaint Investigation Report

Montgomery Springs Manor, Hayward02/23/2024Licence 015601506

Census13
Date signed02/23/2024 02:09:57 PM
The inspector’s account

it was last year and Terminix came out. LPA obtained a Terminix invoice dated 8/2/2023 and 9/7/2023. LPA observed droppings in cabinet underneath kitchen sink,

Deficiency is cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties.

Exit interview conducted. A copy of the appeal rights and this report provided

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