Freedom Village

The California Code of Regulations Section CCR 87211(a)(1)(A) on Reporting Requirements states that “A written report shall be submitted (…) to the person responsible for the resident within seven days of the occurrence of Death of any resident(…).” This requirement is not met as evidenced by: based on resident record review & interviews conducted Licensee failed to submit Death Report until requested. Licensee also failed to report R1’s fall. This poses a potential risk to the health and safety of the residents in care.

The California Code of Regulations Section 87218(a)(2) on Theft and Loss states that “The licensee shall ensure an adequate theft and loss program (…). A licensee who fails to make reasonable efforts to safeguard resident property, shall reimburse a resident for or replace stolen or lost property (...).” This requirement is not met as evidenced by: based on observation and interview, Licensee failed to properly safeguard R1’s wedding ring. This poses a potential risk to the health and safety of the residents in care.

The California Code of Regulations Section 87465(g) on Incidental Medical and Dental Care states that “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”. This requirement is not met as evidenced by: based on resident record review & interviews conducted the licensee failed to call 911 following R1’s unwitnessed fall on 08/01/2020. This poses an immediate risk to the health & safety of residents in care. CIVIL PENALTY ASSESSED ON 9/8/23