Senior Care Records.

Facility Evaluation Report

Montgomery Springs Manor, Hayward07/10/2026Licence 015601506

Capacity15
Census11
Date signed07/10/2026 06:26:33 PM
Name of licensing program analystAlicia Delmundo
Name of licensing program managerBennett Fong
The inspector’s account

On this day, July 10, 2026, at 5:10 pm, Licensing Program Analyst (LPA) Delmundo conducted an unannounced Proof of Correction (POC) visit. LPA was granted entry by staff, Melody Tria. LPA called and spoke over the phone with Mirriam Paras, administrator (ADM) and informed the reason for visit. ADM arrived at around 5:50 pm.

On 7/02/26, LPA issued a citation for deficiency section # 87202(a)(1) of which the administrator stated she'll have resident (R1) move to their other facility with non-ambulatory fire clearance as plan of correction. However, the POC submitted on 7/03/26 indicated R1 will stay at the facility on the first floor and that there's available bed on the first floor, when on 7/02/26, there was no available bed on the first floor.

LPA interviewed R1 who stated and confirmed R1 is now on the first floor. LPA also interviewed ADM who stated there's now a vacancy at the other facility and R1 will move to that facility on July 14, 2026.

No deficiency cited during today's visit, however, ADM to submit proof of R1's move-out.

Exit interview conducted and copy of this report provided.

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