Senior Care Records.

Facility Evaluation Report

Heritage Haven, San Leandro08/10/2023Licence 019200506

Capacity27
Census24
Date signed08/10/2023 01:57:59 PM
The inspector’s account

On 8/10/2023 at 11:10am, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct a Case Management visit. LPA met with Ferdinand Guiterrez, Adminstrator, and explained the purpose of the visit.

While LPA L. Hall was conducting a complaint investigation (15-AS-20230807161348 ) on 8/10/2023, LPA toured the kitchen and garage of the facility. LPA also reviewed ten (10) resident files and three (3) staff files.

At 10:10am, LPA observed an unexplainable amount of flies on the porch. And when inside facility flies were everywhere.

At 10:22am, LPA observed a broken window and cabinet doors located in the kitchen.

At 10:25am, LPA observed the fire extinguisher was last serviced on 3/3/2020.

At 10:30am, LPA observed an exit door leading to the back was broken.

At 11:45pm, LPA observed during record review eight (8) of ten (10) physician reports was not current and eight (8) of the (10) appraisal needs and services plan was not current.

At 12:30pm, LPA observed during records review all three (3) staff does not have first aid or CPR certification.

At 12:30pm, LPA observed during record review that all three (3) staff do not have current required training.

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