Senior Care Records.

Facility Evaluation Report

Brookdale North Fremont, Fremont12/09/2022Licence 015601255

Capacity40
Census22
Date signed12/09/2022 10:32:31 AM
The inspector’s account

On 12/9/2022, at 9:10AM, Licensing Program Analysts (LPAs) L. Fici and J. Clancy-Czuleger arrived unannounced to conduct a case management visit for an incident that occurred on 11/8/2022. LPAs was greeted by ANGIE R. CHANEY , Administrator (ADM) and explained the purpose of visit.

LPAs received an Soc341 that was submitted to CCL on 11/14/2022. LPAs interviewed ADM regarding the incident. ADM verified that there was no injuries that the resident sustained, nor any bruising or marks on residents body. No pictures or videos were taken of the incident. Facility held an investigation on 11/8/2022 and investigation closed on 11/8/2022. The companion of the resident was from Glenmoor home care and was working one on one with resident. Companion of the resident is no longer allowed in Brookdale North Fremont as of 11/8/2022 because of the incident that occurred.

Exit interview conducted with administrator, and a copy of this report provided.

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