Senior Care Records.

Facility Evaluation Report

Wallace Place Care Home, Fremont10/03/2024Licence 019200038

Capacity6
Census4
Date signed10/03/2024 11:06:29 AM
The inspector’s account

On 010/03/2024 at 9:30 AM, Licensing Program Analysts (LPAs) L. Alexander and P. Manalo arrived unannounced to conduct Proof of Correction (POC) visit. LPAs met with Caregiver, Saniata Melencion, and informed the reason for visit. Saniata phoned the Licensee/Administrator, Marissa Rubio to inform. Marissa arrived around shortly after.

On 09/11/2024, LPAs conducted an Annual visit in which deficiencies were cited. The POC due dates was 09/12/24 for Type A deficiencies and 09/25/24 for Type B deficiencies.

Facility has the following deficiencies that was not cleared :

Civil Penalties in the total amount of $800.00 is assessed today for failure to meet POC date for deficiencies. Facility is subject to ongoing daily civil penalties until deficiencies is corrected.

Exit interview conducted. A copy of this report, appeal rights provided and LIC421FC provided.

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