Senior Care Records.

Facility Evaluation Report

Hailey's Care Home, El Sobrante07/08/2024Licence 075600176

Capacity6
Census3
Date signed07/08/2024 11:58:22 AM
The inspector’s account

On 07/08/2024 around 11:00 AM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct Proof of Correction (POC) visit. LPA met with Caregiver Maria Del Rosario who telephoned Licensee/Administrator (ADM), Maria Riformo and explained the purpose of the visit. ADM arrived at the facility shortly after.

On 07/02/2024 Administrator emailed LPA stating, “I have received all the records. To comply with the regulations, I’ll send you all the corrections on the due date”.

Facility has the following deficiencies that was not cleared resulting in civil penalties:

· HSC 1569.618(c)(3) - 3 days x $100 = $300.00

ADM replaced Fire Extiinguisher that was observed full and carbon monoxide unit was in working condition. Civil Penalties in the total amount of $600.00 are assessed 07/08/2024 for failure to meet POC date for all deficiencies cited above. Facility is subject to ongoing daily civil penalties until deficiencies are corrected.

Exit interview conducted. A copy of this report, appeal rights provided and LIC421FC provided.

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