Facility Evaluation Report

Serenity Home II, Fremont10/23/2025Licence 019200887

Capacity6
Census5
Date signed10/23/2025 01:51:06 PM
Name of licensing program analystPatricia Manalo
Name of licensing program managerYvonne Flores-Larios
The inspector’s account

On 10/23/2025 at 12:35 PM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to conduct a Case Management Visit regarding an incident report that was reported to CCLD on 10/09/2025. LPA met with Direct Care Staff, Elma Cabrito, and explained the purpose of the visit. Administrator gave authorization for staff to sign the report.

The incident occurred on 10/08/2025 when Client 1 (C1) AWOL'D from the facility. The incident report stated that C1 was waiting for C1's day program on the porch. However, when C1's transportation came, C1 was not there. Staff looked inside the facility and around the neighborhood, but was not able to find C1. Staff notified the Administrator. After 3 hours, the police department was notified. C1 was later found at a nearby store by C1's previous day program staff. Administrator was escorted by the police department to pick up C1.

During the visit, LPA interviewed two staff, Administrator, and reviewed C1's physician's report and facility's daily log. Physician's Report dated 10/10/2025 shows that C1 is not able to leave the facility unassisted.

LPA will be requesting the facility to obtain a police report and send to CCLD by 10/31/2025.

The Facility was 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 with Cabrito. Appeal Rights and a copy of this report provided.

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