Senior Care Records.

Facility Evaluation Report

Hailey's Care Home, El Sobrante05/12/2022Licence 075600176

Capacity6
Census0
Date signed05/12/2022 09:59:59 AM
The inspector’s account

On 05/12/22 at 09:25 AM, Licensing Program Analyst (LPA) L. Holmes conducted an announced case management visit to amend complaint ( 15-AS-20220328152756). LPA explained the purpose of the visit with Maria Riformo, Administrator (ADM), which is to capture signatures of LPA and ADM.

LPA obtained signatures for the LIC9099-D and LIC9099-C

Exit interview conducted and a copy of the amended report was given to the Administrator.

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