Senior Care Records.

Facility Evaluation Report

Pacaldo-yee, Hayward04/15/2025Licence 019201136

Capacity14
Census11
Date signed04/15/2025 03:48:49 PM
Name of licensing program analystKelly Nguyen
Name of licensing program managerBennett Fong
The inspector’s account

On this day, at around 9:30 am, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct an annual required inspection. LPA met with Administrator, Digna Ramos, and explained the purpose of the visit.

The facility has an approved fire clearance for 11 non-ambulatory and 3 bedridden residents. The facility has an approved hospice waiver for 4 residents. LPA observed 3 staff working during the visit.

During the visit, LPA inspected the facility inside and out, including but not limited to resident rooms, bathrooms, living/dining area, kitchen, and backyard. Passageways were observed to be clear and free from obstruction. There was sufficient lighting. Smoke detectors are interconnected. The first aid kit was observed to be complete .

At 10:30 am, LPA reviewed 5 residents' files; 5 out of 5 have current physician reports.

At 12:10 pm, LPA reviewed 5 staff files; 5 out of 5 have current TB, CPR, and First Aid certificate.

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