Senior Care Records.

Facility Evaluation Report

Hampshire Manor INC, Roseville11/12/2025Licence 317005563

Capacity6
Census5
Date signed11/12/2025 04:15:05 PM
Name of licensing program analystGraham Gunby
Name of licensing program managerTroy Ordonez
The inspector’s account

Regional Manager (RM) Alycia Rayner, Licensing Program Manager (LPM) Troy Ordonez and Licensing Program Analyst (LPA) Graham Gunby arrived at the facility unannounced on 11/12/2025. RM, LPM and LPA met with Cathy Dustin and explained the purpose of today's visit.

During today's visit RM and LPM toured the facility. RM and LPM observed alarm system in the laundry room. RM and LPM observed common areas, resident bedrooms and bathrooms, along with the perimeter of the facility to ensure the health and safety to residents in care.

RM, LPM, and LPA reviewed resident files.

LPA cleared Plan of Correction from the previous visit on 10/16/2025.

No deficiencies cited. Exit interview conducted and a copy of the report will be emailed to Administrator.

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