Facility Evaluation Report

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

Capacity6
Census5
Date signed03/19/2025 05:41:05 PM
The inspector’s account

On 03/19/2025 at 4:58 PM Licensing Program Analysts (LPAs) P. Manalo and K. Nguyen conducted an unannounced Case Management visit. 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.

While LPAS were at the facility for another visit, LPAs observed the following:

At 4:31 PM, LPAs observed the refrigerator handle locked with a chain and a key lock.

At 4:32 PM, LPAs observed that the kitchen cabinets locked with a paddle lock and a key lock.

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

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

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