Senior Care Records.

Facility Evaluation Report

Fremont Hills, Fremont01/13/2023Licence 019200761

Capacity140
Census68
Date signed01/13/2023 12:46:32 PM
The inspector’s account

On 1/13/2023, at 12:10PM, Licensing program analysts (LPAs) L. Fici And C. Lin arrived unannounced to conducted a case management about an incident that the LPA was informed about. LPAs met and was greeted by Administrator, BERNADETTE MILO and explained the purpose of the visit.

On 1/11/2023, LPA was informed of an incident at the facility occurred on 12/31/2022 and the administrator failed to submit an Lic624 to CCL. Administrator emailed LPA an Lic624 regarding the incident that occurred on 1/11/2023. LPAs discussed with administrator the regulation on reporting requirements to be submitted to CCL on a timely manner.

The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies and/or repeat deficiencies within a 12-month period may result in civil penalties.

Deficiency is being cited due to reporting requirements

Exit interview conducted with administrator, appeal rights given with a copy of this report.

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