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Facility Evaluation Report

Footprint Care Home, Fremont07/15/2025Licence 015601366

Capacity6
Census3
Date signed07/15/2025 04:27:26 PM
Name of licensing program analystPatricia Manalo
Name of licensing program managerYvonne Flores-Larios
The inspector’s account

On 07/15/2025 at 2:00 PM, Licensing Program Analysts (LPAs) P.Manalo and K.Nguyen arrived unannounced to deliver the complaint finding for Complaint # 15-AS-20250714143536 dated 07/15/2025. As a result, LPA conducted a case management. LPA met with care staff, Gene Messick, and explained the purpose of the visit.

During interview with staff, it was revealed that the Administrator is not present and available in the facility for sufficient number of hours and/or days.

Record review also showed that Resident 1 (R1) was sent to the hospital multiple times and was not reported to licensing agency.

Deficiency is cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties.

Exit interview conducted. A copy of this report and appeal rights provided.

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