015601374-6-17-2026-15-AS-BFOG-DVUV8R-20260710161309

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 015601374
Report Date: 06/17/2026
Date Signed: 06/17/2026 02:26:41 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/20/2026 and conducted by Evaluator Patricia Manalo

COMPLAINT CONTROL NUMBER: 15-AS-20260320091415

FACILITY NAME:	AEGIS ASSISTED LIVING OF FREMONT		FACILITY NUMBER:	015601374
ADMINISTRATOR:	TURNER, RYAN		FACILITY TYPE:	740
ADDRESS:	3850 WALNUT AVENUE		TELEPHONE:	(510) 739-1515
CITY:	FREMONT	STATE: CA	ZIP CODE:	94538
CAPACITY:	110	CENSUS: 82	DATE:	06/17/2026
		UNANNOUNCED	TIME BEGAN:	11:40 AM
MET WITH:	Ryan Turner, General Manager		TIME COMPLETED:	12:50 PM

ALLEGATION(S):

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Staff do not ensure food served is of good quality
Staff do not ensure contaminated food is discarded
Staff do not ensure floors and surfaces are kept in clean sanitary condition at all times
Licensee does not ensure staff are properly trained in food service

INVESTIGATION FINDINGS:

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On 06/17/2026 at 11:40 AM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to deliver the findings on the above allegations. LPA met with General Manager, Ryan Turner and Health Services Director, Leslie Ibo. LPA explained the purpose of the visit.

During the course of investigation, LPA interviewed 13 staff, 9 residents, and witness.

LPA reviewed and obtained documents including but not limited to Personnel Report (LIC500), Resident Roster, Staff Schedule for February and March, Weekly Menu for February and March, Personnel Record (LIC501), California Food Handler Certificate, maintenance invoice, and staff training.

Continue to LIC9099-C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Patricia Manalo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/17/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 15-AS-20260320091415

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: AEGIS ASSISTED LIVING OF FREMONT	FACILITY NUMBER: 015601374
	VISIT DATE: 06/17/2026

NARRATIVE

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Continued from LIC9099…

Allegation: Staff do not ensure food served is of good quality

It was alleged that staff do not ensure food served is of good quality. On 03/25/2026, LPA interviewed 8 of 9 residents and confirmed the food being served to the residents is good. In addition, 8 of 9 residents do not have any issues with the quality of food that they receive for their meals. Interview with 7 of 13 staff indicated that the food quality being served to residents is good and has not observed any issues. S10 stated that there are times when vegetables and pasta would be undercook to residents’ preference, therefore, S10 will request for those food items to be cooked longer. S10 confirmed that the kitchen staff will replace the food items when requested before serving to residents.

Based on interviews and observations conducted, the above allegation that staff do not ensure food served is of good quality is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Allegation: Staff do not ensure contaminated food is discarded.

It was alleged that staff do not ensure contaminated food is discarded. Interview with S6 indicated that the facility receives their food shipment twice a week and if S6 notices that there’s something wrong with the food items, S6 will take a picture and file a claim to the food vendor. Interview with 5 of 8 staff members indicated that if they observe rotten or spoiled food in the kitchen, they will discard it. Interview with R9 indicated that when R9 receives fruits from the kitchen, R9 always received fresh fruits and never rotten. Additionally, interviews with R4, R5, R6, R7, and R9 stated that there are no issues with the food that they receive from the kitchen.

Based on interviews conducted, the above allegation that staff do not ensure contaminated food is discarded is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Continue to LIC9099-C...

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Patricia Manalo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/17/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 15-AS-20260320091415

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: AEGIS ASSISTED LIVING OF FREMONT	FACILITY NUMBER: 015601374
	VISIT DATE: 06/17/2026

NARRATIVE

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Continued from LIC9099-C...

Allegation: Staff do not ensure floors and surfaces are kept in clean sanitary condition at all times.

It was alleged that staff do not ensure floors and surfaces are kept in clean sanitary condition at all times. On 03/25/2026, LPA observed the kitchen and observed it in sanitary conditions. LPA also observed kitchen staff sanitizing their workstations after each task. Interview with S1 indicated that every quarter, the kitchen staff will have overnight cleaners that will clean the kitchen, including the floors. A record review of the facility’s maintenance invoice dated from 03/13/2025 to 05/13/2026 showed that the facility had a deep cleaning that included the floors and surfaces of the kitchen every 3 months. Interview with S6 indicated that kitchen staff will mop and sweep the floor daily and the maintenance staff will conduct a deep cleaning of the floors every 3 weeks. S5, S7, and S9 stated that they will occasionally mop and/or sweep the floors during their shifts. Additionally, S2 stated that they frequently visit the kitchen throughout their shift and have not observed the kitchen floors and surfaces unsanitary.

Based on interviews and record review conducted, the above allegation that staff do not ensure floors and surfaces are kept in clean sanitary condition at all times is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Allegation: Licensee does not ensure staff are properly trained in food service.

It was alleged that licensee does not ensure staff are properly trained in food service. On 03/25/2026, LPA reviewed a sample of staff files and 8 of 8 staff members all have a valid Food Handlers certificate. S1 stated that all staff members working in the kitchen will receive training on Relias and are required to have a Food Handlers certificate. Interviews with S3, S4, S6, S8 and S9 confirmed that they all maintain a Food Handlers certificate. S3 and S6 both stated that they will provide training for the kitchen staff, especially for the different types of diets each resident has. 4 of 7 kitchen staff that were interviewed indicated that they received kitchen training of some sort in the facility before they began completing tasks on their own.

Continued to LIC9099-C...

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Patricia Manalo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/17/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 15-AS-20260320091415

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: AEGIS ASSISTED LIVING OF FREMONT	FACILITY NUMBER: 015601374
	VISIT DATE: 06/17/2026

NARRATIVE

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Continued from LIC9099-C...

Based on interviews conducted, the above allegation that licensee does not ensure staff are properly trained in food service is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

No deficiencies cited.

Exit interview conducted and a copy of this report provided via email.

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Patricia Manalo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/17/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2026

LIC9099 (FAS) - (06/04)

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