Senior Care Records.

Facility Evaluation Report

A & J Assisted Living Facility, Daly City12/22/2023Licence 415601066

Capacity53
Census50
Date signed12/22/2023 10:26:48 AM
The inspector’s account

On this day, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced case management - incident visit in response to a possible gas leak reported to the Department on 12/20/2023. LPA met with LVN Judith Macalisong and explained the purpose of today's visit.

On 12/20/2023, the facility was alerted of the smell of gas coming from the facility. Local PG&E and fire department was notified of the smell and inspections were made. It was found out that the source of the gas leak was a broken water heater component from one of the two water heaters the facility is equipped with. The water heater in question is located in a mechanical room at the exterior of the facility adjacent to the activity room on the east side of the facility. During today's visit LPA toured the facility and took water temperatures in two locations. LPA tested the water as 115F and 118F. LPA observed the new water heater components in place as well as the water heater. The facility reported no shortages during the evening hours of 12/20/2023. The facility had warm water, heating, and ability to cook meals. The gas supply to the facility was not shut off. The repairs were made on 12/21/2023 before noon time according to the licensee Juliet Pacaldo.

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