Senior Care Records.

Facility Evaluation Report

Heritage Haven, San Leandro08/23/2023Licence 019200506

Capacity27
Date signed08/23/2023 11:13:46 AM
The inspector’s account

On 8/23/2023 at 10:05am, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct proof of correction (POC) visit. LPA met with Jhemierly Morales, Caregive r , and explained the purpose of the visit. Administrator, Ferdinand Guiterrez, arrived at 10:50am.

LPA conducted a case management visit on 8/10/2023 and cited facility for the following:

Broken window - LPA observed during today's visit window have been replaced.

Broken cabinet door - LPA observed cabinet doors have been repaired.

Broken exit door - LPA observed door have been repaired.

Fire extinguisher - Administrator submitted photo that fire department check extinguisher on 8/14/2023.

Food - LPA observed food and also receipts for additional food delivery for today

First aid certification for staff - LPA observed first aid and CPR certification for all three (3) staff.

Appraisal needs and services plan for clients - Plans have been updated for clients

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