Facility Evaluation Report

NS Care, Fountain Valley10/20/2025Licence 306004454

Capacity6
Census6
Date signed10/20/2025 10:27:33 AM
Name of licensing program analystEboni Bentley
Name of licensing program managerLourdes Montoya
The inspector’s account

On October 20, 2025, Licensing Program Analyst (LPA) Eboni Bentley conducted a case management deficiency visit unrelated to allegation of complaint #22-AS-20251016145831.

Per record review, S1 is not associated with the facility. Per interview with Licensee Sofroni Novac stated, S1 began working at the facility as a caregiver on August 23, 2025, is full-time, and works 5 days per week. During today's visit, LPA observed S1 working at the facility and providing care to residents in care.

A deficiency was cited by Title 22 Division 8 Chapter 6.

An exit interview was conducted, and a copy of this report and appeal rights were provided to Licensee Sofroni Nova.

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