Inspection Report Summary
Most inspections at Aegis Assisted Living of Fremont found no deficiencies, with the most recent report on October 7, 2025, citing only one minor issue involving emergency food storage near antibacterial soap and water, which posed a health and safety risk. Several complaint investigations were unsubstantiated, though some substantiated findings involved missed or incorrect medication administration and failure to provide adequate supervision, which led to a $500 fine in February 2025. Other isolated deficiencies included unlocked hazardous items accessible to residents and improper eviction procedures, with staff responsible for these incidents removed from the facility. The facility showed some improvement over time, as recent follow-up visits found no deficiencies after earlier citations. Overall, the issues were mostly isolated and addressed without severe enforcement actions beyond the one fine.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
2.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
38% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
73% occupied
Based on a October 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Annual Inspection
Census: 80
Capacity: 110
Deficiencies: 1
Date: Oct 7, 2025
Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements at Aegis Assisted Living of Fremont.
Findings
The facility was generally compliant with safety and operational standards, including adequate lighting, proper water temperatures, and functioning smoke and carbon monoxide detectors. However, a deficiency was cited for storing emergency food in the same closet as antibacterial liquid soap and water supply, posing a health and safety risk.
Deficiencies (1)
Emergency food stored in the same closet as antibacterial liquid soap and water supply inside the laundry room, posing an immediate health and safety risk to persons in care.
Report Facts
Hot water temperature readings: Measured at 114.2, 109.6, 114.3, 112.2, 114, 109.2, and 109.4 degrees Fahrenheit in residents' shared bathrooms.
Fire extinguisher last serviced date: 07/10/2025 for general and kitchen fire extinguishers.
Emergency Disaster Drill last updated: 09/24/2025
Fire Drill last conducted: 09/20/2025
Number of resident records reviewed: 8
Number of staff records reviewed: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Turner | General Manager / Administrator | Met with Licensing Program Analysts during inspection and named in exit interview. |
| Leslie Ibo | Health Services Director | Met with Licensing Program Analysts during inspection. |
| Patricia Manalo | Licensing Program Analyst | Conducted inspection and signed report. |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report as Licensing Program Manager. |
Inspection Report
Follow-Up
Census: 77
Capacity: 110
Deficiencies: 0
Date: Aug 18, 2025
Visit Reason
This case management visit was conducted as a follow-up on the facility's compliance plan resulting from the Non-Compliance Conference held on March 25, 2025.
Findings
During the visit, an inspection of the Memory Care unit was conducted and resident files were reviewed. Discussions were held regarding the facility's fall prevention plan. No deficiencies were cited.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Turner | General Manager | Met with Licensing Program Analysts during the visit. |
| Brenda Silva | Health Services Director | Met with Licensing Program Analysts and discussed the facility's fall prevention plan. |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 110
Deficiencies: 0
Date: Aug 18, 2025
Visit Reason
An unannounced Case Management visit was conducted regarding a self-reported incident involving a resident's unwitnessed fall resulting in a femur fracture.
Complaint Details
The visit was triggered by a self-reported incident on 07/17/2025 involving Resident 1 who sustained a femur fracture after an unwitnessed fall. The complaint was investigated and no deficiencies were found.
Findings
The Licensing Program Analysts reviewed relevant documents and interviewed staff. No deficiencies were cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Turner | General Manager | Met with Licensing Program Analysts during the visit. |
| Brenda Silva | Health Services Director | Self-reported the incident and interviewed during the visit. |
| Patricia Manalo | Licensing Program Analyst | Conducted the inspection. |
| K. Nguyen | Licensing Program Analyst | Conducted the inspection. |
Inspection Report
Census: 77
Capacity: 110
Deficiencies: 0
Date: Aug 18, 2025
Visit Reason
The visit was an unannounced Case Management inspection regarding a self-reported incident involving a resident's unwitnessed fall resulting in an avulsion fracture.
Findings
The Licensing Program Analysts reviewed relevant medical and service documents and interviewed facility staff. The facility and resident's family are in communication regarding care. No deficiencies were cited during the visit.
Report Facts
Capacity: 110
Census: 77
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Turner | General Manager | Met with Licensing Program Analysts during the visit |
| Brenda Silva | Health Services Director | Self-reported the incident and interviewed during the visit |
Inspection Report
Census: 77
Capacity: 110
Deficiencies: 2
Date: Aug 18, 2025
Visit Reason
Unannounced case management visit conducted by Licensing Program Analysts to evaluate compliance with licensing requirements.
Findings
Two deficiencies were observed: Tide Pod left unlocked in the washing machine room in Memory Care 2, and sanitation wipes left unlocked in Memory Care 1, posing immediate safety risks to residents.
Deficiencies (2)
Tide Pod left unlocked and accessible in the washing machine room in Memory Care 2.
Sanitation wipes left unlocked and accessible in Memory Care 1.
Report Facts
Capacity: 110
Census: 77
Plan of Correction Due Date: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Turner | General Manager | Met with Licensing Program Analysts during the inspection. |
| Patricia Manalo | Licensing Program Analyst | Conducted the inspection and signed the report. |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 110
Deficiencies: 1
Date: Jul 30, 2025
Visit Reason
An unannounced Case Management visit was conducted regarding a self-reported medication error that occurred on 2025-07-20, involving administration of a discontinued PRN medication to a resident.
Complaint Details
The visit was triggered by a self-reported medication error incident involving Resident 1 receiving a discontinued PRN medication on 2025-07-20. The incident was self-reported by the Health Services Director on 2025-07-24. The resident was monitored and showed no adverse effects.
Findings
The facility failed to comply with medication administration requirements by giving Resident 1 a discontinued PRN medication, posing a potential health and safety risk. The resident was monitored and showed no side effects. A Type B deficiency was cited.
Deficiencies (1)
The licensee did not comply with the requirement to give medication according to physician's directions by administering a discontinued PRN medication to Resident 1.
Report Facts
Census: 77
Total Capacity: 110
Deficiency Count: 1
Plan of Correction Due Date: Aug 13, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maryrose Vinarao | Care Director | Met with Licensing Program Analyst during inspection and provided information about the medication error |
| Brenda Silva | Health Services Director | Self-reported the medication error incident |
| Patricia Manalo | Licensing Program Analyst | Conducted the inspection visit |
| Ryan Turner | Administrator/Director | Facility Administrator named in report header |
Inspection Report
Census: 77
Capacity: 110
Deficiencies: 0
Date: Jul 30, 2025
Visit Reason
An unannounced Case Management visit was conducted regarding a self-reported incident involving a resident's unwitnessed fall and wrist fracture.
Findings
The Licensing Program Analyst reviewed the resident's service plan and medical reports and found no deficiencies during the visit.
Report Facts
Capacity: 110
Census: 77
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maryrose Vinarao | Care Director | Met with Licensing Program Analyst during the visit |
| Patricia Manalo | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Ryan Turner | Administrator/Director | Facility Administrator named in report header |
Inspection Report
Census: 76
Capacity: 110
Deficiencies: 0
Date: Jul 10, 2025
Visit Reason
An unannounced Case Management visit was conducted regarding a self-reported incident involving a resident's unwitnessed fall and subsequent treatment for a closed hip fracture.
Findings
The Licensing Program Analyst reviewed medical and service records, spoke with the resident, and found no deficiencies during the visit.
Report Facts
Facility capacity: 110
Resident census: 76
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brenda Silva | Health Services Director | Met with Licensing Program Analyst during the visit and self-reported the incident |
| Ryan Turner | General Manager | Authorized Brenda Silva to sign the report |
| Patricia Manalo | Licensing Program Analyst | Conducted the unannounced Case Management visit |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 110
Deficiencies: 0
Date: Jul 1, 2025
Visit Reason
The inspection visit was an unannounced Case Management visit regarding a self-reported restraint abuse incident that occurred on 2025-06-23.
Complaint Details
The visit was triggered by a self-reported restraint abuse incident on 2025-06-23 by the Health Services Director, Leslie Ibo. The complaint was investigated and found unsubstantiated as no injuries occurred.
Findings
The investigation found that the resident did not sustain injuries during the incident. The private caregiver involved was sent home and barred from the facility. No deficiencies were cited during the visit.
Report Facts
Census: 77
Total Capacity: 110
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Turner | General Manager | Met with Licensing Program Analyst during the visit and involved in the incident response |
| Leslie Ibo | Health Services Director | Self-reported the restraint abuse incident |
| Patricia Manalo | Licensing Program Analyst | Conducted the unannounced Case Management visit |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 110
Deficiencies: 1
Date: Jul 1, 2025
Visit Reason
An unannounced Case Management visit was conducted regarding a self-reported missed medication incident that occurred on 2025-06-12 involving Resident 1's insulin dose.
Complaint Details
The visit was complaint-related due to a self-reported missed medication incident. The complaint was substantiated as evidenced by the deficiency cited.
Findings
The facility failed to administer the morning insulin dose to Resident 1 due to the safety on the needle remaining intact, resulting in a missed medication. The resident was monitored and showed no side effects. A Type B deficiency was cited for failure to comply with care and supervision requirements.
Deficiencies (1)
Missed medication for Resident 1's insulin which poses a potential health and safety risk to persons in care.
Report Facts
Census: 77
Total Capacity: 110
Deficiencies cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Turner | General Manager | Met with Licensing Program Analyst during inspection |
| Leslie Ibo | Health Services Director | Self-reported the missed medication incident |
| Patricia Manalo | Licensing Program Analyst | Conducted the inspection visit |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Follow-Up
Census: 75
Capacity: 110
Deficiencies: 1
Date: May 6, 2025
Visit Reason
The visit was a case management legal non-compliance follow-up conducted to assess the facility's compliance plan following a Non-Compliance Conference held on March 25, 2025.
Findings
During the visit, an inspection of the Memory Care unit revealed laundry baskets blocking two residents' doors, which were promptly removed. A technical violation was issued during the visit.
Deficiencies (1)
Laundry baskets blocking two resident's doors in the Memory Care unit
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Turner | General Manager | Met during the visit and involved in inspection of Memory Care unit |
| Leslie Ibo | Health Services Director | Met during the visit and involved in inspection of Memory Care unit |
| Patricia Manalo | Licensing Program Analyst | Conducted the inspection and visit |
| Luisa Fontanilla | Licensing Program Analyst | Conducted the inspection and visit |
Inspection Report
Capacity: 110
Deficiencies: 0
Date: May 6, 2025
Visit Reason
An unannounced Case Management visit was conducted regarding a self-reported incident involving multiple falls by a resident.
Findings
The Health Services Director self-reported multiple falls by Resident 1 on three consecutive days. The facility updated the resident's Service Plan and moved the resident to the Memory Care Unit, after which no further falls occurred. No deficiencies were cited during the visit.
Report Facts
Incident dates: Falls occurred on 2025-04-25, 2025-04-26, and 2025-04-27
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Leslie Ibo | Health Services Director | Self-reported incident and participated in interviews during the visit |
| Ryan Turner | Administrator/Director | Named as facility administrator |
Inspection Report
Census: 77
Capacity: 110
Deficiencies: 0
Date: Apr 7, 2025
Visit Reason
An unannounced Case Management visit was conducted regarding a self-reported incident involving a resident's unwitnessed fall and subsequent fracture.
Findings
The review of the resident's medical documents indicated the fracture was sustained prior to moving in. No deficiencies were cited during the visit.
Report Facts
Facility Capacity: 110
Census: 77
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Leslie Ibo | Health Services Director | Met with Licensing Program Analysts during the visit and self-reported the incident |
| Ryan Turner | Administrator/Director | Facility Administrator named in the report header |
Inspection Report
Census: 77
Capacity: 110
Deficiencies: 0
Date: Apr 7, 2025
Visit Reason
An unannounced Case Management visit was conducted regarding a self-reported incident involving a resident's unwitnessed fall and subsequent injury.
Findings
The visit found no deficiencies; the After Visit Summary indicated no evidence of spine fracture and the injury was attributed to age indeterminate factors.
Report Facts
Incident report date: Mar 15, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Leslie Ibo | Health Services Director | Met during the visit and self-reported the incident |
| Ryan Turner | Administrator/Director | Facility Administrator/Director named in the report header |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 110
Deficiencies: 0
Date: Feb 20, 2025
Visit Reason
The visit was an unannounced case management inspection conducted in response to a priority 1 complaint received on 2024-04-09 regarding resident supervision and safety concerns.
Complaint Details
The complaint alleged that a male memory care resident entered another resident's bedroom and remained there unattended for over an hour, and that memory care residents were left unsupervised in the common room. The complaint was investigated and no deficiencies were cited.
Findings
The Licensing Program Analyst found no deficiencies during the visit. The Executive Director had conducted staff retraining on proper care and supervision of residents with dementia following the complaint.
Report Facts
Complaint received date: Apr 9, 2024
Video footage date: Mar 3, 2024
Staff retraining date: Apr 12, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Turner | Executive Director | Met with Licensing Program Analyst and discussed incidents and staff retraining |
| Daisy Panlilio | Licensing Program Analyst | Conducted the case management visit |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 110
Deficiencies: 1
Date: Feb 20, 2025
Visit Reason
Unannounced complaint investigation visit conducted due to allegation that staff did not provide adequate supervision resulting in a resident sustaining multiple fractures while in care.
Complaint Details
Allegation of neglect/lack of supervision resulting in resident sustaining multiple fractures was substantiated. Resident had 5 documented falls since admission in 2022, with serious fractures to femur and pelvis. Staff failed to provide adequate supervision despite multiple fall prevention methods and expressed concerns.
Findings
The allegation was substantiated based on interviews, observations, and record reviews showing the resident sustained multiple falls and serious fractures due to inadequate supervision. An immediate civil penalty of $500 was assessed for failure to provide adequate care and supervision.
Deficiencies (1)
Failure to provide adequate supervision resulting in resident sustaining multiple fractures while in care.
Report Facts
Immediate civil penalty: 500
Documented falls: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Daisy Panlilio | Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Bennett Fong | Licensing Program Manager | Oversaw the complaint investigation. |
| Ryan Turner | Executive Director | Met with Licensing Program Analyst during investigation. |
| Paul H Shepodd | Administrator | Facility administrator named in report. |
Inspection Report
Census: 74
Capacity: 110
Deficiencies: 0
Date: Jan 15, 2025
Visit Reason
An unannounced Case Management visit was conducted regarding a self-reported incident by the Health Services Director on 2025-01-13.
Findings
No deficiencies were cited during the visit. Licensing Program Analysts reviewed multiple resident and facility documents and requested a copy of the Death Certificate to be sent by 2025-02-15.
Report Facts
Capacity: 110
Census: 74
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Leslie Ibo | Health Services Director | Self-reported the incident and met with Licensing Program Analysts during the visit |
| Ryan Turner | Administrator/Director | Named as facility administrator/director |
| Patricia Manalo | Licensing Program Analyst | Conducted the inspection visit |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 65
Capacity: 110
Deficiencies: 0
Date: Dec 6, 2024
Visit Reason
An unannounced Case Management visit was conducted regarding a self-reported abuse incident that occurred on 2024-11-29.
Complaint Details
The visit was triggered by a self-reported abuse incident involving a staff member pulling a resident's leg. The staff member was terminated on 2024-12-05 and removed from the facility roster.
Findings
The investigation included interviews with residents and staff, review of relevant documents, and confirmed that the staff member involved was terminated and removed from the facility roster. No deficiencies were cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Turner | Executive Director | Interviewed regarding the abuse incident and facility operations. |
Inspection Report
Annual Inspection
Census: 68
Capacity: 110
Deficiencies: 0
Date: Oct 28, 2024
Visit Reason
The visit was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.
Findings
The inspection found no deficiencies. The facility was toured, records reviewed, and safety equipment checked, all meeting required standards. Updated copies of certain administrative documents were requested for submission by 11/04/2024.
Report Facts
Hot water temperature: 115
Hot water temperature: 114.1
Fire extinguisher last serviced: Aug 28, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Turner | Administrator | Met with Licensing Program Analysts and toured facility |
| Leslie Ibo | Health Services Director | Met with Licensing Program Analysts and explained purpose of visit |
| Patricia Manalo | Licensing Program Analyst | Conducted inspection and signed report |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report header and narrative |
Inspection Report
Census: 68
Capacity: 110
Deficiencies: 0
Date: Oct 28, 2024
Visit Reason
The visit was an unannounced case management inspection conducted in response to an Unusual Incident Report submitted by the facility regarding a missing bottle of narcotic medication following a resident's death.
Findings
The investigation found that an unused bottle of narcotic medication was missing after a resident passed away. Despite searching medication carts and cabinets, the medication was not found. The incident was reported to the police, and staff received in-service training on narcotic handling and documentation. No deficiencies were cited.
Report Facts
Incident event number: P24125430 reported to Fremont Police
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Leslie Ibo | Health and Wellness Director | Met with Licensing Program Analysts during the visit and involved in medication destruction process |
| Ryan Turner | Executive Director | Met with Licensing Program Analysts during the visit |
Inspection Report
Census: 68
Capacity: 110
Deficiencies: 0
Date: Oct 28, 2024
Visit Reason
The visit was an unannounced case management inspection conducted in response to an Unusual Incident Report submitted by the facility regarding a resident's sudden death.
Findings
The resident experienced a sudden death while receiving morning ADL care, CPR was administered for about 45 minutes, and the coroner was not required to visit. No deficiencies were cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Leslie Ibo | Health and Wellness Director | Met with Licensing Program Analysts during the visit and provided information about the resident's incident. |
| Ryan Turner | Executive Director | Met with Licensing Program Analysts during the visit and involved in explaining the purpose of the visit. |
Inspection Report
Census: 78
Capacity: 110
Deficiencies: 0
Date: Sep 25, 2024
Visit Reason
The visit was an unannounced case management inspection to deliver an amended LIC9099D page from a prior visit conducted on 09/24/2024.
Findings
No deficiencies were cited during the visit. An exit interview was conducted and a copy of the report was provided to the facility representative.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gregory Clark | Licensing Program Analyst | Conducted the unannounced visit and delivered the amended LIC9099D. |
| Ryan Turner | Administrator | Met with Licensing Program Analyst during the visit. |
Inspection Report
Complaint Investigation
Census: 78
Capacity: 110
Deficiencies: 1
Date: Sep 24, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to an allegation that staff locked residents in their rooms.
Complaint Details
The complaint was substantiated based on interviews, document review, and photographic evidence. The staff member admitted to locking residents in their rooms and was separated from the facility on 04/22/2024 for misconduct.
Findings
The investigation substantiated the allegation that a staff member placed laundry baskets in front of residents' rooms to prevent them from wandering, effectively locking them in. The staff member was separated from the facility for this misconduct.
Deficiencies (1)
Violation of CCR 87468.1 Personal Rights of Residents in All Facilities: Residents were locked in their rooms using a laundry cart, posing a potential health, safety, or personal rights risk.
Report Facts
Capacity: 110
Census: 78
Deficiency Type Count: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Gregory Clark | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Ryan Turner | Administrator | Facility representative met during the investigation |
| Paul H Shepodd | Administrator | Named as facility administrator in the report header |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 110
Deficiencies: 2
Date: Aug 19, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-07-03 regarding allegations that a resident sustained an injury while in care and that staff did not report the incident to the Community Care Licensing (CCL).
Complaint Details
The complaint investigation was substantiated for the allegation that a resident sustained an injury while in care and that staff did not report the incident to CCL. Other allegations regarding staff communication and seeking medical attention were unsubstantiated.
Findings
The investigation substantiated that the resident sustained a traumatic subarachnoid hemorrhage consistent with an accidental fall, and the facility failed to report the serious injury to the licensing agency. Additional allegations about staff communication and seeking medical attention were unsubstantiated. Two Type B deficiencies were cited related to failure to report the injury and failure to observe the resident closely enough to detect the fall.
Deficiencies (2)
Licensee did not submit an incident report involving an injury resident sustained from accidental fall.
Facility did not observe resident close enough to know that he had a fall resulting in injury.
Report Facts
Capacity: 110
Census: 75
Civil penalty: 250
Civil penalty: 250
Plan of Correction Due Date: Due date for plan of correction is 2024-08-26
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill Clancy-Czuleger | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Ryan Turner | General Manager | Met with Licensing Program Analysts during the investigation |
| Paul H Shepodd | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 110
Deficiencies: 3
Date: Jul 10, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that staff did not seek medical attention for a resident, did not report the incident to the licensing agency, and did not communicate with the resident's responsible party.
Complaint Details
The complaint was substantiated. Allegations included staff not seeking medical attention for a resident after two unwitnessed falls, not reporting the incident to the licensing agency, and not communicating with the resident's responsible party. The investigation included interviews, record reviews, and evidence collection. The findings confirmed the allegations.
Findings
The investigation substantiated the allegations that staff failed to seek medical attention for a resident who had two unwitnessed falls, failed to report the incidents to the licensing agency, and failed to notify the resident's family. Deficiencies were cited related to these failures.
Deficiencies (3)
The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis except as specified in Sections 87469(c)(2), (c)(3), or (c)(4). This requirement is not met as evidenced by: Based on interviews and records review, the facility did not seek medical attention for a resident who had two falls.
Each licensee shall furnish to the licensing agency such reports as the Department requires. A written report shall be submitted to the licensing agency including any serious injury as determined by the attending physician. This requirement was not met and evidenced by: Based on interviews and records review, the facility did not report to the department that the resident had bruising and two unwitnessed falls.
The licensee shall ensure that residents are regularly observed for changes in physical, mental condition and ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person. This requirement is not met as evidenced by: Based on interviews and records review, the facility did not for a resident who had two falls.
Report Facts
Capacity: 110
Census: 80
Deficiencies cited: 3
Plan of Correction Due Date: Jul 12, 2024
Plan of Correction Due Date: Jul 24, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jill Clancy-Czuleger | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Harpreet Humpal | Licensing Program Manager | Oversaw the complaint investigation |
| Ryan Turner | General Manager | Met with Licensing Program Analyst during investigation |
| Paul H Shepodd | Administrator | Facility administrator mentioned in report |
Inspection Report
Complaint Investigation
Census: 72
Capacity: 110
Deficiencies: 0
Date: Apr 11, 2024
Visit Reason
An unannounced Health and Safety check was conducted due to the department receiving a priority 1 complaint.
Complaint Details
The visit was triggered by a priority 1 complaint; no deficiencies were found and residents were safe.
Findings
During the health and safety check, residents appeared comfortable and safe with no imminent health or safety concerns observed. No deficiencies were cited during the inspection.
Report Facts
Staff members observed: 27
Residents observed: 72
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Turner | General Manager/Administrator | Met with Licensing Program Analyst during the inspection |
| Daisy Panlilio | Licensing Program Analyst | Conducted the unannounced health and safety check |
| Bennett Fong | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 110
Deficiencies: 0
Date: Nov 15, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that staff abused residents while in care and violated residents' personal rights.
Complaint Details
The complaint investigation was triggered by allegations of staff abuse and violation of residents' personal rights. After interviews and record review, the allegations were found to be unsubstantiated.
Findings
Based on interviews with residents and staff, and review of records, there was no preponderance of evidence to substantiate the allegations of abuse or violation of personal rights. The allegations were determined to be unsubstantiated.
Report Facts
Residents interviewed: 4
Staff interviewed: 5
Sample size of residents' records reviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paul H Shepodd | Administrator | Named as facility administrator |
| Madeline Williams | General Manager | Met with Licensing Program Analyst during investigation |
| Shashi Madahar | Health Services Director | Met with Licensing Program Analyst during investigation |
| Liridon Fici | Licensing Program Analyst | Conducted the complaint investigation |
| Harpreet Humpal | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 81
Capacity: 110
Deficiencies: 1
Date: Sep 7, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint alleging that the licensee did not follow proper eviction procedures for a resident and that facility staff did not properly supervise a resident resulting in elopement.
Complaint Details
The complaint investigation was initiated based on allegations that the licensee did not follow proper eviction procedures and that facility staff failed to properly supervise a resident resulting in elopement. The eviction procedure allegation was substantiated, while the supervision allegation was unsubstantiated.
Findings
The investigation substantiated the allegation that the licensee failed to follow proper eviction procedures by not providing a proper eviction notice to a resident, posing a potential health and safety risk. The allegation regarding improper supervision resulting in elopement was unsubstantiated due to insufficient evidence.
Deficiencies (1)
Licensee did not comply with eviction procedures by not giving a resident a proper eviction notice, posing a potential health, safety, or personal rights risk to persons in care.
Report Facts
Capacity: 110
Census: 81
Deficiencies cited: 1
Plan of Correction Due Date: Sep 14, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paul H Shepodd | Administrator | Named as facility administrator during the investigation |
| Liridon Fici | Licensing Program Analyst | Conducted the complaint investigation |
| Harpreet Humpal | Licensing Program Manager | Oversaw the complaint investigation |
| Shashi Madahar | Administrator | Met with Licensing Program Analyst during the visit |
Inspection Report
Annual Inspection
Census: 81
Capacity: 110
Deficiencies: 0
Date: Sep 1, 2023
Visit Reason
The visit was an unannounced 1-Year Annual Required Inspection conducted to evaluate compliance with licensing requirements and facility conditions.
Findings
The inspection found the facility to be in compliance with no deficiencies cited. The facility was observed to have adequate safety measures, proper environmental conditions, and appropriate documentation was requested for submission.
Report Facts
Bedrooms: 80
Bathrooms: 80
Staff records reviewed: 10
Resident records reviewed: 10
Resident medications reviewed: 10
Fire extinguisher last serviced: Jul 25, 2023
Hot water temperature: 116
Staff present during inspection: 4
Residents present during inspection: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MaryRose Vinarao | Care Director | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Liridon Fici | Licensing Program Analyst | Conducted the inspection visit |
| Harpreet Humpal | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Census: 81
Capacity: 110
Deficiencies: 0
Date: Aug 24, 2023
Visit Reason
The visit was an unannounced case management visit to deliver an amended report originally dated 7/19/2023.
Findings
No deficiencies were cited during this visit. The Licensing Program Analyst obtained the original report from the Administrator and conducted an exit interview.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Shashi Madahar | Administrator | Met with Licensing Program Analyst during the visit. |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 110
Deficiencies: 0
Date: Jul 19, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation of illegal eviction received on 07/14/2023.
Complaint Details
Complaint alleging illegal eviction was investigated and found to be unfounded.
Findings
The investigation found that the complaint was unfounded as the alleged resident did not reside at the facility, and the allegation was false or without reasonable basis.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Shashi Madahar | Administrator | Met with Licensing Program Analyst during the complaint investigation. |
| Liridon Fici | Licensing Program Analyst | Conducted the complaint investigation. |
| Harpreet Humpal | Licensing Program Manager | Named in report header. |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 110
Deficiencies: 0
Date: Jul 19, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that a resident was hospitalized due to neglect.
Complaint Details
The complaint alleged that a resident was hospitalized due to neglect. The investigation included interviews with residents and staff, and review of relevant documents. Staff described protocols for monitoring residents' health and actions taken when residents show signs of decline. The resident was hospitalized on 1/16/2023 and returned on 2/3/2023. The allegation was found unsubstantiated.
Findings
Based on interviews and record review, although the allegation may have happened or be valid, there was not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation was unsubstantiated.
Report Facts
Resident hospitalized date: Jan 16, 2023
Resident return date: Feb 3, 2023
Number of residents interviewed: 3
Number of staff interviewed: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Liridon Fici | Licensing Program Analyst | Conducted the complaint investigation visit and delivered findings |
| Shashi Madahar | Administrator | Met with Licensing Program Analyst during the visit |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 110
Deficiencies: 0
Date: Jun 16, 2023
Visit Reason
The inspection was conducted as a result of a priority 1 complaint to perform a Health & Safety inspection at the facility.
Complaint Details
The visit was triggered by a priority 1 complaint. No deficiencies were cited during the visit.
Findings
The Licensing Program Analyst toured the facility and found no deficiencies. All safety measures including hot water temperature, food supplies, medication storage, smoke detectors, carbon monoxide detector, first-aid kit, and fire extinguisher were in compliance.
Report Facts
Hot water temperature: 113.3
Food supply duration: 7
Food supply duration: 2
Refrigerator temperature: 39
Freezer temperature: 0
Fire extinguisher last serviced: Aug 1, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Shashi Madahar | Health Service Director | Met with Licensing Program Analyst during inspection |
| Gregory Clark | Licensing Program Analyst | Conducted the Health & Safety inspection |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report header |
Inspection Report
Census: 98
Capacity: 110
Deficiencies: 0
Date: Dec 30, 2022
Visit Reason
The visit was conducted for case management regarding an incident that the Licensing Program Analyst was informed about and confirmed during the visit.
Findings
The Licensing Program Analyst confirmed the incident occurred and discussed reporting requirements with the administrator. No deficiencies were cited during the visit.
Inspection Report
Complaint Investigation
Census: 98
Capacity: 110
Deficiencies: 0
Date: Dec 30, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that staff did not report resident's change in condition to responsible party, did not follow resident's physician's orders, and did not assist resident with grooming.
Complaint Details
The complaint investigation was unsubstantiated based on record reviews and interviews. Allegations included failure to report resident condition changes, failure to follow physician orders, and failure to assist with grooming. Documentation and interviews supported compliance with care requirements.
Findings
The investigation found that the resident's family was notified of the foot infection, physician's orders were followed for wound care, and grooming activities were performed as required. However, there was insufficient evidence to substantiate the allegations, and the complaint was determined to be unsubstantiated.
Report Facts
Capacity: 110
Census: 98
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paul H Shepodd | Administrator | Met with Licensing Program Analysts during investigation |
| Liridon Fici | Licensing Program Analyst | Conducted complaint investigation |
| Yvonne Flores-Larios | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
Complaint Investigation
Census: 82
Capacity: 110
Deficiencies: 0
Date: Nov 18, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 09/16/2022 regarding staff handling residents roughly, delayed assistance, failure to seek timely medical attention, retaining residents needing higher care, and failure to report incidents to representatives.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included rough handling causing injury, delayed response to assistance requests, failure to seek timely medical attention, retaining residents needing higher care, and failure to report incidents to representatives. Interviews, record reviews, and documentation supported that proper care and reporting occurred.
Findings
The investigation found that staff handled residents according to facility procedures, responded to assistance requests timely, sought medical attention appropriately, provided ongoing care for residents needing higher care, and reported incidents to representatives. However, there was insufficient evidence to substantiate the allegations, resulting in an unsubstantiated finding.
Report Facts
Capacity: 110
Census: 82
Complaint receipt date: Sep 16, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paul Shepodd | Administrator | Met with Licensing Program Analysts during investigation |
| Shashi K Madahar | Health Services Director | Named in relation to investigation and findings |
| Liridon Fici | Licensing Program Analyst | Conducted the complaint investigation |
| Yvonne Flores-Larios | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
Annual Inspection
Census: 81
Capacity: 110
Deficiencies: 0
Date: Oct 6, 2022
Visit Reason
Unannounced infection control inspection conducted as a required 1-year visit to assess compliance with infection control standards.
Findings
The inspection found the facility well-maintained with adequate infection control measures, including signage, PPE availability, hand sanitizer, and proper water temperature. No deficiencies were cited during the visit.
Report Facts
Water temperature: 113.2
Fire extinguisher last serviced: Aug 12, 2022
Common area disinfection frequency: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Shashi K Madahar | Health Services Director | Met with Licensing Program Analysts during inspection and exit interview |
Inspection Report
Complaint Investigation
Census: 95
Capacity: 110
Deficiencies: 1
Date: Feb 23, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to address allegations received on 2022-02-17 regarding inadequate staff training and other concerns at Aegis Assisted Living of Fremont.
Complaint Details
The complaint investigation was substantiated for inadequate staff training. Other allegations about insufficient staffing and failure to provide updates to residents' responsible parties were unsubstantiated.
Findings
The investigation substantiated that facility staff were not adequately trained, specifically noting an incident where night shift staff did not know the location of the medication key. Other allegations regarding insufficient staffing and failure to update residents' responsible parties were found unsubstantiated.
Deficiencies (1)
Facility failed to ensure that all personnel were properly trained, including knowledge of community services and resources, posing a risk to health and safety of clients.
Report Facts
Capacity: 110
Census: 95
Deficiency count: 1
Plan of Correction Due Date: Due date for correction is 03/11/2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Leslie Ibo | Licensing Program Analyst | Conducted the complaint investigation |
| Paul Shepodd | Administrator | Met with Licensing Program Analyst during investigation |
| Shashi K Madahar | Health and Services Director | Met with Licensing Program Analyst during investigation and named in findings |
Inspection Report
Complaint Investigation
Census: 98
Capacity: 110
Deficiencies: 0
Date: Dec 30, 2021
Visit Reason
The visit was an unannounced case management visit conducted regarding an incident report received on 12/28/2021 involving alleged abuse of a resident by a staff member.
Complaint Details
The complaint involved an abuse allegation reported by Resident 1 against Staff 5. The facility notified law enforcement and the resident's responsible party. Staff 5 was suspended and terminated following the investigation.
Findings
The investigation revealed that Staff 5 was the caregiver involved in the incident with Resident 1. Staff 5 was suspended immediately and terminated after the investigation. The facility planned to conduct abuse training for all staff on 1/5/2022. No deficiencies were cited during the visit.
Report Facts
Staff interviewed: 3
Incident report date: Dec 28, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cathy Zhou | Health and Services Director | Met with Licensing Program Analyst during the visit. |
| Emily Poon | General Manager | Met with Licensing Program Analyst during the visit. |
| Laura Hall | Licensing Program Analyst | Conducted the case management visit and investigation. |
Inspection Report
Census: 81
Capacity: 110
Deficiencies: 0
Date: Nov 19, 2020
Visit Reason
The visit was a Case Management phone call regarding a death report due to a shelter in place order directed by the Governor.
Findings
The report detailed the circumstances of a resident's fall resulting in a head injury and subsequent death due to a punctured lung from a broken rib. No deficiencies were cited during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dave Peper | General Manager | Spoke with Licensing Program Analyst during the Case Management visit regarding the resident's death. |
Report
February 3, 2026
Report
February 3, 2026
Report
February 3, 2026
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