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Facility Evaluation Report

Boyd Senior Care Home, Pleasant Hill05/08/2025Licence 075601332

Capacity6
Census5
Date signed05/08/2025 08:49:36 PM
Name of licensing program analystLori Alexander-Washington
Name of licensing program managerBennett Fong
The inspector’s account

On 05/08/2025 at 7:30 pm Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct a Case Management visit while conducting an investigation with complaint 15-AS-20250429090737 . LPA met with Administrator, Jerry Pediguerra.

During record review LPA observed that Resident (R) R4 was on insulin injections according to their medication list. LPA reviewed R4's physician's report that indicated that R4 can not administer their own injections. LPA interviewed Staff (S) S1 that stated R4 was administering their own insulin injections.

The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies 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