Senior Care Records.

Facility Evaluation Report

Villa Montgomery, Hayward11/02/2023Licence 015600585

Capacity20
Census12
Date signed11/02/2023 06:44:41 PM
The inspector’s account

Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct case management in response to the SOC341 Report of Suspected Dependent Adul/Elder Abuse received by Oakland Regional Office from different agency. SOC341 indicated that resident (R1) received SSI and R1's father is the rep payee. R1 should get $116/month spending money but only receives $20.

On this day, November 2, 2023, LPA met with Adora Santiago, administrator, and informed the reason for visit.

LPA reviewed R1's file and obtained copies of documents. LPA conducted interviews. Facility does not handle resident's P&I.

Administrator has to leave and authorized Aura Rubilyn Bucu, staff, to sign and receive this report.

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