Senior Care Records.

Facility Evaluation Report

Palm Tree Courtyard, Hayward02/20/2025Licence 015601167

Capacity15
Census9
Date signed02/20/2025 05:36:06 PM
The inspector’s account

On this day, February 20, 2025, at 3:30 pm, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with Sheilha Muniz, business office manager(BOM), and Juliana Taburaza, administrator (ADM), and informed the reason for visit.

LPA toured the facility inside out with BOM. LPA inspected the kitchen, dining area, living room, bedrooms, bathrooms, front, side yard and backyard. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications was observed locked.

Facility has smoke and carbon monoxide detectors that were tested and observed in operating condition. Hot water temperature in one of the bathrooms was tested. Fire extinguishers were observed fully charge with tags showed serviced 10/10/24. Facility conducts fire and earthquake drills every quarter and records showed last conducted 2/01/25 and 2/02/25 respectively.

Administrator to submit copies of the following updated/current documents by March 6, 2025:

1. LIC308 Designation of Facility Responsibility

3. LIC610E Emergency Disaster Plan (9 pages)

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