Facility Evaluation Report

Good Samaritan Care Facility, Carmichael12/04/2025Licence 345002972

Capacity6
Census4
Date signed12/04/2025 12:42:22 PM
Name of licensing program analystCheyenne Ratajczak
Name of licensing program managerLaura Munoz
The inspector’s account

On 12/04/2025 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a required 1 year inspection utilizing the care tool. LPA met with Administrator Daniel Danielyan and explained the purpose of the visit.

LPA and Administrator conducted a tour of the facility. Areas toured include but not limited to resident bedrooms, bathrooms, kitchen, and common areas. LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. LPA observed residents' bathrooms to be clean, sanitary, and in good repair. LPA observed food supplies of non-perishables for a minimum of seven(7) days and perishable foods for a minimum of two (2) days. Toxins and cleaning supplies are locked and inaccessible to residents in care. LPA observed fire detectors and carbon monoxide alarms to be operable. The fire extinguisher was last serviced on 02/07/2025. LPA observed medications to be locked and inaccessible to residents in care. LPA observed required Licensing posters posted throughout the facility.

LPA conducted a file review of four (4) resident records and two (2) staff records. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility.

LPA requested Licensee to email LPA Ratajczak current LIC500 and LIC308.

As a result of today's inspection no deficiencies observed.

Exit interview conducted and a copy of the report was left at the facility.

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