Senior Care Records.

Facility Evaluation Report

Frederickson Home II, Elk Grove04/13/2023Licence 342701120

Capacity6
Census5
Date signed04/13/2023 03:31:09 PM
The inspector’s account

On 4/13/2023, Licensing Program Analyst (LPA) Tung Truong arrived at this facility unannounced to conduct a case management visit. Upon LPAs arrival, Direct Care Staff Mavictoria Agra was present and contacted Administrator Valerie Frederickson who arrived a bit later. LPA met with Valerie Frederickson and explained the purpose of the visit. There are currently 5 residents who reside at this facility.

The purpose of the visit today is in response to substantial inadequacies identified by Alta California Regional Center during an annual Title 17 Monitoring Review on 3/29/23. It was learned that the facility was placed on sanction on 4/6/23 due to the following deficiencies:

- Failure to provide consumer services as specified in the consumer’s IPP.

- Failure of a Service Level 4 facility to utilize the instructional methods and techniques which are specified in the facility’s program design.

As a result, the following deficiencies were cited from the California Code of Regulations, Title 22, and California Health and Safety Code. The deficiencies can be found on the 809-D page.

Exit interview was conducted, a copy of this report, 809-D, and appeal rights were provided.

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