Senior Care Records.

Facility Evaluation Report

Tia Maria Family Home, Hayward05/23/2024Licence 011404238

Capacity28
Census28
Date signed05/23/2024 04:17:06 PM
The inspector’s account

On 05/23/2024, at 3:25 PM, Licensing Program Analyst (LPA) Lori Alexander arrived unannounced to conduct Proof of Correction (POC) visit. LPA met with Administrator, David de Almeida and explained the purpose of the visit.

Facility has the following deficiencies that was cleared :

80069(c)(1) - David phoned the facility doctor who will have the nurse come out and administer the TB tests and return within 48hrs to give the results

85068.4(g) - Received Age Exception Letters for R1-R6

80086 (a)(c) - Received City of Hayward Notice of Violation

80024 - David will send self-certification to CCLD 05/23/24

No deficiencies cited during visit. Exit interview conducted and a copy of this report provided

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