Facility Evaluation Report

Jefferson Care Home, Concord03/20/2025Licence 075601160

Capacity6
Census3
Date signed03/20/2025 03:08:22 PM
The inspector’s account

On 03/20/2025 at 1:30 PM, Licensing Program Analysts (LPAs) J. Clancy-Czuleger arrived unannounced to conduct a Plan of Correction (POC) visit. LPAs met with caregiver Dennis Ambat and explained the purpose of the visit.

On 03/06/2025, LPA conducted a complaint investigation and case management visit in which deficiencies were cited. The POC due dates was 03/07/25, 03/08/25, and 03/13/25. Administrator failed to submit the POC by the due dates and this is why LPAs came to make a POC visit.

Civil Penalties in the total amount of $7000.00 is assessed today for failure to meet POC date for deficiencies. Facility is subject to ongoing daily civil penalties until deficiencies is corrected.

Exit interview conducted. A copy of this report, appeal rights provided and LIC421FC provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction