Senior Care Records.

Facility Evaluation Report

Revitalize Care Home LLC, Pittsburg10/10/2024Licence 079200772

Capacity6
Census5
Date signed10/10/2024 06:24:51 PM
The inspector’s account

On 10/10/2024 at 5:20pm, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct a Case Management visit. LPA met with Administrator, Genevieve Dace, and explained purpose of the visit.

While LPA L. Hall was conducting a complaint investigation 15-AS-20240501163714 on 10/10/2024. Upon arrival LPA observed S2 was not fingerprinted or associated to the facility. S1 did have S2 fingerprinted but it was for the day program.

The deficiency was observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiency may result in civil penalties.

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

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