Senior Care Records.

Facility Evaluation Report

Shepherd House, Hayward09/25/2024Licence 019200980

Capacity4
Census4
Date signed09/25/2024 12:26:51 PM
The inspector’s account

On 9/25/2024 at 12:10PM, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct Case Management Inspection in regard to a special incident report received. LPA met administrator, Dorren Khan and explained the purpose of the visit.

Special incident report dated 9/24/2024 states that C1 got caught walking out of Walmart, with a pair of shoes and is being charge. C1 currently in the community. C1's case manager were notified. Administrator stated that this is C1 first time incident. There is a court date that is set on 11/10/24. C1’s is schedule to have a quarterly review on 10/24/24 and this new behavior will be discussed during the meeting.

No deficiencies are being cited on this date.

Exit interview conducted. A copy of this report provided.

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