Complaint Investigation Report

Amazing Grace Care Home, Fremont10/06/2022Licence 019200271

Census8
Date signed10/06/2022 12:06:25 PM
The inspector’s account

Allegation: Staff did not prevent resident from engaging in inappropriate behaviors – Substantiated

The Department has investigated this allegation and observations and interviews and found that no staff supervised clients at facility when 911 call was made by client (R1) in subject time period. Clients (R5 and R6) had witnessed that client (R4) answered call from 911 dispatcher due to no staff at facility.

Based on information obtained, the preponderance of evidence is met, therefore the allegations are substantiated.

Deficiencies are cited from Title 22 California Code of Regulations (see 9099D). Failure to submit proof of correction by plan of correction due date and any repeat violation within 12 month period may result in civil penalty. A immediate $500 civil penalty is assessed on this day.

Deficiencies and plan and proof of correction were discussed with the Administrator.

Exit interview conducted with Administrator, LIC9099D, Appeal Rights, and copy this report provided.

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