Senior Care Records.

Facility Evaluation Report

Derry Way Home, INC., South San Francisco08/06/2025Licence 415600901

Capacity8
Census4
Date signed08/06/2025 04:02:27 PM
Name of licensing program analystGrace Donato
Name of licensing program managerApril Cowan
The inspector’s account

On 8/6/2025 LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Administrator Yvonne Kwok . LPA explained the purpose of the visit.

LPA toured the facility inside and outside. Facility is a two-story house with resident rooms on the second floor. All residents are ambulatory. 2 residents arrived from day program. While touring the facility it was observed that the room temperature was at 70 deg F. The facility is observed to be clean, odorless, and well maintained. Residents bedrooms were observed to be well organized and fully furnished with adequate lighting. Sharps and toxic materials were observed locked. Food supply was observed with an adequate with two day perishable and seven day non-perishable food supply. Carbon monoxide/smoke detectors, and fire extinguisher were present throughout the facility.

Two resident records and two staff records were reviewed. Staff have criminal record and fingerprint clearances on file. Resident records were reviewed and were observed to be complete with documents such as Admission Agreements, Medical Assessments, and Needs and Service Plans. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated.

LPA received a copy of the liability insurance.

No deficiencies are cited at this time. Report is reviewed with and a copy is provided.

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