Senior Care Records.

Facility Evaluation Report

Donnie & Cecilia Pestrana Family Home #5, Roseville03/06/2024Licence 317003519

Capacity6
Census5
Date signed03/06/2024 02:21:37 PM
The inspector’s account

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct a case management visit. LPA met with Administrator Emily Palmer during today's inspection.

LPA reviewed facility fire clearance and facility sketch with Administrator. Administrator agrees to submit an update facility sketch into CCL. LPA reviewed client P&I money, and documentation.

Administrator agrees to submit to LPA P&I documentation and bank statements by 3/25/24. In addition Administrator will submit an updated facility sketch and LIC200 by 3/25/24.

No deficiencies cited during today's inspection.

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