Facility Evaluation Report

NS Care, Fountain Valley10/20/2025Licence 306004454

Capacity6
Census5
Date signed11/17/2025 04:24:43 PM
Name of licensing program analystEboni Bentley
Name of licensing program managerLourdes Montoya
The inspector’s account

On October 15, 2025, the licensee assigned an individual to accompany Resident 1 (R1) to an appointment at the Community Health Center in Garden Grove. However, this individual is not employed by the facility, does not possess a background clearance, and has no official association with the facility.

Per record review, I1 is not associated with the facility. Per interview with Licensee Sofroni Novac stated, I1 was asked to attend a doctor's appoint with a resident but does not work at the facility and is not associated.

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