Senior Care Records.

Complaint Investigation Report

FCSN East Bay Adult Day Program, Fremont04/06/2022Licence 019200199

Census45
Date signed04/29/2022 02:34:04 PM
The inspector’s account

019200199-4-29-2022-15-AS-YFLS-CEYW2G-20220601165420

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1515 CLAY STREET, STE. 310

This is an official report of an unannounced visit/investigation of a complaint received in our office on

07/07/2021 and conducted by Evaluator Gregory Clark

COMPLAINT CONTROL NUMBER: 15-AS-20210707162143

Program site is not kept clean and sanitary at all times for the safety and well-being of clients, employees and visitors.

***THIS IS AN AMENDED REPORT FROM VISIT ON 4/6/22***

On 04/29/22 at 2:15 p.m. Licensing Program Analyst (LPA) Greg Clark arrived unannounced to deliver amended findings from the original compliant investigation findings delivered on 4/06/22. LPA met with Vivian Largusa and explained the purpose of the visit.

During the course of the investigation on performed 4/06/22, LPA toured the facility and interviewed 3 staff. During the facility tour LPA observed that the facility was clean and in good repair. The kitchen was clean and well maintained. LPA did not observe any mold in or on the kitchen sinks. During the tour of the bathrooms LPA observed the bathrooms to be clean and well maintained. The sinks were observed to be clean and no mold was observed.

During the staff interviews all three staff reported that the facility is cleaned by a janitorial crew made up of residents from the agency’s Independent Living Program accompanied by a job coach twice daily: once after lunch and then again at the end of the day. Staff also reported that a professional cleaning crew from an outside vendor cleans the facility on a bi-weekly basis.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted and a copy of this report provided.

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