Senior Care Records.

Facility Evaluation Report

Tri City Care Home II, Fremont03/19/2025Licence 015601359

Capacity6
Census5
Date signed03/19/2025 05:39:47 PM
The inspector’s account

On 03/19/2025 at 4:25 PM Licensing Program Analysts (LPAs) P. Manalo and K. Nguyen conducted an unannounced Case Management Plan of Correction visit regarding deficiencies that was observed during annual visit on 03/03/2025. LPAs met with Care Staff, Wilma Bernal, and explained the purpose of the visit. Administrator gave authorization on the phone for staff to sign the report.

On a previous visit, LPA cited a deficiency on Resident Records, CCR 97506(b) which had a Plan of Correction (POC) due date of 03/17/2025. The facility did not send proof of the plan of correction.

During the visit, LPAs reviewed resident's record and observed that it is complete.

No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

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