Facility Evaluation Report

Fremont Village, Fremont10/29/2024Licence 015601280

Capacity120
Census57
Date signed10/29/2024 03:20:47 PM
The inspector’s account

Licensing Program Analyst (LPAs) Manalo and Clancy-Czuleger arrived unannounced to conduct a case management visit in response to the Unusual Incident Report (UIR) submitted by the facility. LPAs met with Administrator, Gina Velayo, and explained the purpose of the visit.

On 10/03/2024, R1 was sent to the hospital for an open wound on coccyx area. When discussing with Administrator, the wound got to this degree because R1 was not accepting care from facility staff. R1 was sent to Skilled Nursing Facility until wound healed and R1 was then readmitted to the facility.

Exit interview conducted and copy of this report provided .

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