Senior Care Records.

Facility Evaluation Report

My Place, Roseville02/12/2026Licence 315920233

Capacity6
Census3
Date signed02/12/2026 10:45:43 AM
Name of licensing program analystBethany Mirlohi
Name of licensing program managerTroy Ordonez
The inspector’s account

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to complete annual inspection. LPA met with Arlene Ferguson during today's inspection. Currently there are 3 residents residing in facility and 1 resident receiving hospice services.

LPA toured facility with administrator to ensure health and safety of residents in care. LPA toured 5 resident rooms, 1 staff room, 2 bathrooms, kitchen, common living spaces, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA toured the backyard and all exits are accessible and unlocked. There is a locked storage for medications and toxins. Food supply is adequate for 2-day perishable and 7-day nonperishable. LPA observed an adequate amount of linens and found the first aid kit to be complete. Hot water temperature was measured at 117 degrees.

LPA reviewed 2 of 3 resident files and 2 staff files . A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility. Staff records reviewed indicated current first aid certificates and training completed. LPA observed a copy of current liability insurance.

No deficiencies are being cited as a result of todays inspection.

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