HAILEY'S CARE HOME

3831 LA COLINA ROAD, El Sobrante CA 94803

Facility 075600176 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Jul 14, 2026Licensed

Additional info
Licensee
RIFORMO, MARIA & HAILEY
Administrator
RIFORMO, MARIA
Contact
RIFORMO, MARIA
License first date
Jul 10, 1997
License effective date
Jul 10, 1997
District office
OAKLAND ASC · (510) 286-4201
Regional office
15
Clients served
935 - ELDERLY

Summary

The available records show 2 Type A and 13 Type B deficiencies for this facility.

Most recent inspection
Jul 14, 2026
Most recent deficiency
Jul 14, 2026

No later report is available, so the records do not show what happened afterward.

What Type A and Type B mean
Type A
Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
Type B
Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.

Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.

At a glance

Counts cover the five-year public record. Typical figures are the median for the 391 Contra Costa County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 9 reports for this facility: 7 inspections, 2 complaint investigations, and 0 licensing or administrative records.

Those records contain 2 Type A and 13 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
7

More than the typical 5

1 in the last 12 months

Recorded deficiencies
15

Well above the typical 3

5 in the last 12 months

Type A deficiencies
2

More than the typical 1

0 in the last 12 months

Type B deficiencies
13

Well above the typical 2

5 in the last 12 months

Substantiated complaints
2

Most this size have none

0 in the last 12 months

Repeated topics
2

Last 36 months

Repeated topics

Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Inspection
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
87411(f)
Regulation authority
CCR

What the official deficiency says

(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health.Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and interview, the licensee did not comply with the section cited above in S2 not having an LIC503 Health Screening and TB test on file which poses a potential health and/or personal rights risks to persons in care.

Official plan of correction

POC Due Date: 07/21/2026 Plan of Correction By POC date, the Administrator agrees to have S2 get a completed health screening and TB test completed and submit a self-ceritifcation letter to CCLD.

Plan of correction recorded
Correction not verified in available records
View official report
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
1569.625(b)(2)
Regulation authority
HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in that S2 has not completed the 20 hours of annual training which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/21/2026 Plan of Correction By POC date, the Administrator agrees to have S2 complete the required annual training and submit a self-ceritifcation letter to CCLD.

Plan of correction recorded
Correction not verified in available records
View official report
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
87411(c)(1)
Regulation authority
CCR

What the official deficiency says

(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in S1 and S2 did not complete their first aid training which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/21/2026 Plan of Correction By POC date, the Administrator agrees to have S1 and S3 complete their first aid training and submit a self-ceritifcation letter to CCLD.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87463(i)
Regulation authority
CCR

What the official deficiency says

(i) When there is significant change in condition, as defined in Section 87101, Definitions, or once every 12 months, whichever occurs first, the licensee shall arrange an in-person or virtual meeting or conference call to share the reappraisal with the resident, the resident's representative, if applicable, and appropriate facility staff, as specified in Section 87467, Resident Participation in Decision Making. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in that all five residents did not have an updated appraisal needs and services plan which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/21/2026 Plan of Correction By POC date, the Administrator agrees to complete all five of the residents appraisal needs and service plans and submit a self-ceritifcation letter to CCLD.

Plan of correction recorded
Correction not verified in available records
View official report
Fire safety and emergency preparednessType B
Official classification
Type B
Official code
1569.695(c)
Regulation authority
HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and interview, the licensee did not comply with the section cited above in that the facility has not conducted any recent fire dills which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 07/21/2026 Plan of Correction By POC date, the Administrator agrees create a schedule to ensure fire drills will be completed quarterly and submit a self-ceritifcation letter to CCLD.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Admission, assessment, and evictionType A
Official classification
Type A
Official code
87507(c)
Regulation authority
CCR

What the official deficiency says

(c) Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident's representative, if any, and the licensee or the licensee's designated representative no later than seven days following admission. Attachments to the agreement may be utilized as long as they are also signed and dated as prescribed above. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above in one (1) out of three (3) residents which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/16/2024 Plan of Correction Licensee to have R1's responsible party sign an admission agreement, update R1's resident file with the required CCLD forms, and read the regulation. Licensee to provide CCLD with copies of R1's admission agreement, physician's report, and ID/Emergency contact information; self-certify that the remaining forms are current and complete in R1's file.

Plan of correction recorded
Correction not verified in available records
View official report
Not classified in the sourceType B
Official classification
Type B
Official code
1569.311
Regulation authority
HSC

What the official deficiency says

Every residential care facility for the elderly shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by not having a carbon monoxide detector in operating condition which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/05/2024 Plan of Correction Administrator will purchase new carbon monoxide detectors an install them, purchase a fire extinguisher, and provide CCLD a copy of the receipt and photos of installation to CCLD by the POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Licensing and administrationType B
Official classification
Type B
Official code
1569.618(c)(3)
Regulation authority
HSC

What the official deficiency says

(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited above in two (2) out of three (3) Caregivers not possessing evidence of first aid and/or CPR certification in the staff files which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/05/2024 Plan of Correction Licensee to provide proof of first aid and CPR training for Caregivers to CCLD by the POC date to ensure that one (1) staff is trained on duty and on the premises at all times.

Plan of correction recorded
Correction not verified in available records
View official report
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
1569.625(b)(2)
Regulation authority
HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above in two (2) out of three (3) staff files which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/12/2024 Plan of Correction Licensee to provide proof of training to CCLD by the POC date that meets the requirements of an additional 20 hours of training annually per the above regulation.

Plan of correction recorded
Correction not verified in available records
View official report
Health conditions and treatmentsType B
Official classification
Type B
Official code
87608(a)(5)(A)
Regulation authority
CCR

What the official deficiency says

(A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above in one (1) out of two (2) resident files which poses a potential health, safety or personal rights risk to a resident (R2) in care.

Official plan of correction

POC Due Date: 07/05/2024 Plan of Correction Licensee to provide proof of a doctor's order to CCLD by the POC date for a bed rail that extends from the head half the length of the bed for R2.

Plan of correction recorded
Correction not verified in available records
View official report

Source and limits

California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.

Read the data methodology