Senior Care Records.

Facility Evaluation Report

Oak Home at Niles Grove, Fremont11/03/2021Licence 019200267

Capacity6
Census5
Date signed11/03/2021 03:40:00 PM
The inspector’s account

On 11/3/2021 at 2:04PM, Licensing Program Analyst (LPA) C. Lin arrived unannounced to conduct case management for an incident report. LPA met with Back-up Administrator Edith Sarmiento and explained the purpose of visit.

Upon entry, LPA requested to take a look at the knives drawer in the kitchen. LPA observed the drawer was locked. Back-up Administrator took the magnetic key on the cabinet door where was right next to microwave, and open the knives drawer.

· At 2:10PM, LPA observed a magnetic key to unlock the knives drawer was unlocked, and easily accessible to clients in care. Back-up Administrator locked it up during visit.

The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code. Failure to correct deficiency by POC date may result in additional Civil Penalties.

Exit interview conducted. Appeal Rights and a copy of this report provided.

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