Senior Care Records.

Facility Evaluation Report

Heavenly Care Home, Newark03/06/2025Licence 019201259

Capacity6
Census6
Date signed03/06/2025 04:28:44 PM
The inspector’s account

On this day, LPA Luisa Fontanilla arrived at the facility to conduct case management inspection in connection with pre licensing due to change of ownership (CHOW).

LPA inspected the facility inside and out including but not limited to rooms, bathrooms, kitchen, dining area and backyard.

The following deficiencies were observed and corrected during the visit:

staff 1 (S1) is not fingerprint cleared - S1 was removed during the visit

hot water measured at 131 Fahrenheit - Hot water measured at 119

The following need to be corrected and submit proof of correction to CCL:

Insulin was observed unlocked in the refrigerator

One resident is diabetic and on insulin but unable to manage

Deficiencies are cited per Title 22 California Code of Regulations (refer to Lic 809D) and civil penalty of $500 is assessed for today's visit.

Exit interview was conducted with Thinn Aye and Appeal Rights was provided.

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