AEGIS ASSISTED LIVING OF FREMONT

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

87309(a) Storage Space and Access ...disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Based on observations and record review, the licensee did not comply with the section cited above by having Lysol wipes and Lysol spray in R3’s room and Clorox wipes in R4’s room which poses an immediate safety risk to persons in care.

Official plan of correction

By POC date, staff agree to lock the items and send proof to CCLD.

Deadline recorded: Jul 29, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87555(b)(25)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (25) Soaps, detergents, cleaning compounds or similar substances shall be stored in areas separate from food supplies. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by having the emergency food in the same closet as the antibacterial liquid soap and water supply inside the laundry room which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 10/15/2025 Plan of Correction The General Manager agrees to place the emergency food and water supply separate from the cleaning supplies. Proof of correction will be sent to CCLD by POC date.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

87309(a)(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions,...which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by having a tide pod and sanitzation wipes unlocked and accessible to residents which poses an immediate safety risks to person in care.

Official plan of correction

The General Manager agrees to lock the items and send proof to CCLD by POC date.

Deadline recorded: Aug 19, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

87465(c)(2) Incidental Medical and Dental Care (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: The licensee did not comply with the section cited above by giving R1 a discontinued PRN medication that posed a potential health and safety risk to person in care.

Official plan of correction

Staff conducted a Medication Administration In-Service Training on 07/22/2025. Deficiency cleared during the visit.

Deadline recorded: Aug 13, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.2(a)(4)

Regulation authority

CCR

What the official deficiency says

87468.2(a)(4) Additional Personal Rights of Residents in Privately Operated Facilities (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above by having a missed medication for R1's insulin which poses a potential health and safety risk to persons in care.

Official plan of correction

The facility conducted an Insulin Training on 06/18/2025 after the incident occured with all the Wellness Nurses. Deficiency cleared during the visit.

Deadline recorded: Jul 1, 2025. A deadline is not proof that correction was completed.