Inspection Reports for Fremont Hills

The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.

The facility was found to have several deficiencies including unsecured hazardous materials posing immediate health and safety risks, lack of current liability insurance on file, maintenance issues such as disrepair of resident room fixtures, and expired food items. Plans of correction were agreed upon with due dates ranging from 10/31/2025 to 11/14/2025.

An unannounced Case Management visit was conducted regarding a self-reported incident involving a medication error that occurred on 2025-10-09.

The facility was cited for giving resident R1 an incorrect medication dosage, which posed a potential safety risk. Staff admitted the medication error was due to a change in dosage after pharmacy refill.

The visit was complaint-related based on a self-reported incident of medication error. Staff admitted the error. The complaint is substantiated by the citation.

An unannounced Case Management visit was conducted regarding a self-reported incident involving Resident 1 who had an unwitnessed fall resulting in a hip fracture and subsequent hospitalization.

No deficiencies were cited during the visit. The facility reported the incident and is in the process of reassessing the resident before return. Licensing Program Analysts requested additional documentation for further review.

The inspection was conducted as a result of a priority 1 complaint to assess health and safety conditions at the facility.

The inspection found that Fluticasone Propionate Nasal Spray and medication syrup were left unsupervised on top of the medication cart, posing an immediate health and safety risk. Other areas such as hot water temperature, lighting, food supply, first-aid kit, and fire extinguisher were found to be in compliance.

The visit was triggered by a priority 1 complaint. The deficiency observed was substantiated as an immediate health and safety risk.

The visit was an unannounced case management inspection conducted during a complaint investigation (15-AS-20250325125744) to assess compliance with licensing requirements.

The inspection found that the facility's call button system was in disrepair, resulting in residents waiting more than 30 minutes for staff assistance. This deficiency was cited under California Code of Regulations, Title 22.

The visit was conducted as part of a complaint investigation (15-AS-20250325125744).

An unannounced Case Management visit was conducted regarding a self-reported incident involving a resident who suffered a fall resulting in a hip fracture and subsequent hospitalization.

The visit included review of the resident's medical and care documents, confirming the resident was a fall risk and placed on hourly checks. No deficiencies were cited during the visit.

This was an unannounced Case Management follow-up visit conducted on 04/16/2025 regarding an incident reported on 02/27/2025 involving a resident who obtained a wound while hospitalized.

The visit found no deficiencies. The facility provided documentation from the prior visit and committed to notifying the licensing agency before admitting residents with prohibited or restrictive health conditions.

The visit was an unannounced Case Management visit conducted while Licensing Program Analysts were at the facility to conduct a complaint investigation (15-AS-20250325125744).

No deficiencies were cited during the visit. The Licensing Program Analysts observed construction on 19 residents' patios, which had been planned for over a year and recently approved with a building permit. The Interim Executive Director was unsure if the construction was reported to the licensing agency.

The visit was related to a complaint investigation identified as 15-AS-20250325125744.

The visit was an unannounced case management follow-up inspection conducted due to an incident reported on 2025-02-27 involving a resident obtaining a wound while hospitalized.

The Licensing Program Analysts reviewed multiple resident records and interviewed staff. No deficiencies were cited during the visit, and additional staff information was requested for further review.

The visit was triggered by a complaint regarding a resident injury incident reported to the licensing agency.

The inspection was an unannounced Required Annual inspection conducted to evaluate compliance with licensing regulations and facility safety standards.

The facility was found to have adequate environmental conditions and safety measures, but deficiencies were noted related to missing health screenings and TB tests in personnel files, as well as missing and incorrectly sized posted notices. Plans of correction were agreed upon with due dates.

The visit was a case management visit conducted regarding an elopement incident involving a resident.

The resident was found outside the facility and returned by the police without injury. The facility plans to hire additional staffing for AM and PM shifts. No deficiencies were cited during the visit.

The inspection was an unannounced 1-Year Annual Required Inspection conducted to evaluate the facility's compliance with licensing requirements.

The facility was found to be in compliance with no deficiencies cited. The fire clearance was approved for 140 non-ambulatory residents, and safety features such as smoke detectors, carbon monoxide detectors, and fire extinguishers were in proper condition. Staff and resident records, as well as medications, were reviewed without issue.

An unannounced complaint investigation visit was conducted in response to allegations received on 04/19/2023 regarding resident care concerns including a resident left on the floor, inadequate supervision, bathing assistance, response to call signals, and dietary restrictions.

Based on interviews with staff and residents, and review of records, the investigation found that staff check on residents regularly, provide bathing assistance and timely response to call signals, and follow dietary restrictions. However, there was insufficient evidence to substantiate the allegations, resulting in an unsubstantiated finding.

The complaint investigation was unsubstantiated as there was not a preponderance of evidence to prove the alleged violations occurred.

The visit was an unannounced case management inspection triggered by an incident reported to the Licensing Program Analyst regarding the facility's failure to submit a required incident report (Lic624) to the Community Care Licensing (CCL) within the mandated timeframe.

The facility was cited for failing to comply with reporting requirements by not submitting an incident report to CCL within seven days of the occurrence, posing a potential health, safety, or personal rights risk to persons in care.

The visit was complaint-related due to an incident occurring on 12/31/2022 that was not reported timely. The administrator failed to submit the required Lic624 report within seven days. The deficiency was substantiated and cited.

The visit was an unannounced Annual Infection Control Visit conducted to evaluate the facility's infection control practices and compliance.

The inspection found the facility to be in compliance with infection control standards, with sufficient supplies, proper signage, and no deficiencies cited during the visit.

The visit was an unannounced Case Management visit conducted to deliver an Immediate Exclusion letter and verify staff presence.

No deficiencies were cited during the visit. Staff 2 was confirmed not present at the facility, and Staff 1 was advised that Staff 2 shall be removed from guardian.

The inspection was an unannounced complaint investigation visit triggered by multiple allegations including facility disrepair, staff not meeting resident's needs, resident left in soiled diaper for an extended period, and inadequate laundry service for a resident.

The allegation that the facility was in disrepair was substantiated, citing failure to maintain the facility in good repair posing potential health and safety risks. The allegations regarding staff not meeting resident needs, resident left in soiled diaper, and inadequate laundry services were unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was substantiated for the allegation that the facility was in disrepair. Other allegations including staff not meeting resident's needs, resident left in soiled diaper, and inadequate laundry service were unsubstantiated.

The inspection was an unannounced Annual Required - 1 Year inspection focused on Infection Control procedures and practices at this Residential Care Facility for the Elderly.

The facility demonstrated compliance with COVID-19 infection control protocols including screening, PPE use, and cleaning practices. However, carbon monoxide detectors were not observed in common areas or resident bedrooms, and an advisory report was issued. No deficiencies were cited during this inspection.

The visit was an unannounced case management inspection conducted regarding a self-reported incident that occurred on 05/16/2021 involving a resident leaving the facility unsupervised.

The inspection found that Resident R1 left the facility unsupervised despite physician's report indicating the resident was unable to leave unassisted. This deficiency was cited under California Code of Regulations, Title 22, related to personal rights and safety of residents.

The visit was complaint-related due to a self-reported incident of a resident leaving unsupervised. The report does not explicitly state substantiation status.

The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility does not deliver hot water to residents.

The investigation found that the water heater was not working from 06/09/2021 to 06/19/2021, during which the facility provided alternative bathing arrangements including warm sponge baths, hotel showers, and an ADA compliant onsite shower trailer. Notices were sent to residents and responsible parties. The complaint was determined to be unfounded and dismissed.

The complaint alleged that the facility did not deliver hot water to residents. The complaint was investigated and found to be unfounded, meaning the allegation was false, could not have happened, or was without reasonable basis.