Senior Care Records.

Complaint Investigation Report

Worthy House #1, Hayward05/07/2025Licence 019200543

Census2
Date signed05/07/2025 04:20:17 PM
The inspector’s account

Deficiency is cited from Title 22 California Code of Regulations and listed on 9099C. Failure to submit proof of correction by plan of correction due date may result in civil penalty.

Deficiency and plan and proof of correction were discussed ADM. LPA called and left message on Kim Fields, licensee, voicemail.

Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.

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