Facility Evaluation Report

Licensing Program Manager (LPM) Laura Munoz and Licensing Program Analyst (LPA) Lavinia Muscan arrived at the facility unannounced on 9/5/2023 and met with Licensee, Ben Foulk and Administrator Jennifer Hinch and explained the purpose of the visit.

The Department conducted a joint visit today with El Dorado Hills Fire District. On 02/21/2023, the fire district issued the facility a correction notice with items that needed to be corrected for the facility to meet fire code requirements. As of this date, the noted deficiencies have not been corrected. The fire district will be issuing a second correction notice today with a due date of 7 calendar days from today’s date. A follow up visit will be conducted to ensure that corrections have been made.

Today's visit is to check the health and safety of residents in care. Based on records reviewed it has been determined that Licensee has an overdue license fee. This facility has an outstanding balance for fees due. The current amount owed is $2,968.00 and was billed on 1/4/2023. As of this date, the fees are overdue. LPA explained to Administrator that proof of payment and/or proof of payment plan needs to be provided to CCL by the date given. Additionally, based on observation, f acility appears to have a leak in the living room that is in need of repair and a bed located in a room that is designated as an office. This poses an potential risk to residents in care.

Per California Code of Regulations, Title 22 Division 6, Chapter 8, B deficiencies are being cited today in violation of California Code of Regulations and follows on 809-D.

Exit interview conducted and appeal rights provided.