Senior Care Records.

Facility Evaluation Report

Broadway Home, Newark05/17/2024Licence 011441026

Capacity6
Census4
Date signed05/17/2024 03:29:15 PM
The inspector’s account

LPA Luisa Fontanilla conducted a case management visit to issue corrected civil penalty related to the annual inspection conducted on 5/3/2024. LPA informed the Administrator about the visit and authorized Matalang to sign the report.

On 5/3/2024, LPA erroneously issued civil penalty in the amount of $1,000 as indicated in Lic421IM. LPA corrected the mistake and issued civil penalty in the amount of $250.00. LPA retrieved Lic 421IM from Matalang.

A copy of the Lic 421FC in the amount of $250.00 and a copy of this report was provided to Matalang.

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