Follow-up·July 15, 2021

On 7/15/2021 at 9:40AM, Licensing Program Analyst (LPA) L. Hall conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 7/8/2021. LPA met with Stephanie Brice, Executive Director (ED) and explained the purpose of the visit. Incident report dated 7/8/2021 revealed that S3 handled R1 roughly and abusively. Facility notified law enforcement and R1's responsible party. LPA interviewed two (2) staff, three (3) residents, obtained and reviewed documents provided which included physician's report, S3's statement, Fremont Police report number, appraisal needs and services, staff schedule and residents roster. During interviews S1 stated that S3 should have requested a 2nd caregiver to assist with R1. The three (3) residents stated that a couple of the staff handles them roughly but did not know the names of the staff. Based on LPAs' interviews and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D Exit interview conducted. Appeal rights and a copy of this report provided.