Senior Care Records.

Facility Evaluation Report

Blessed Home for Seniors II, Elk Grove03/05/2025Licence 342700343

Capacity6
Census6
Date signed03/05/2025 10:30:40 AM
The inspector’s account

Licensing Program Analyst (LPA) Arvin Villanueva conducted a case management visit in order to follow up on Licensing Fees. Presently, the facility has an outstanding balance of $1, 484. 00 . LPA initially met with staff on duty, Mika Mantupar, and stated the purpose of this visit. The Administrator Aurora Gatchalian was notified and arrived shortly after.

On 7/3/2024, Community Care Licensing Division (CCLD) sent a bill with the annual licensing fees to the Licensee; however, the annual fees have not been paid as of this date. LPA Villanueva informed and explained to Licensee per (CCLD) regulations regarding Licensing Fees - The failure of an applicant or licensee to pay all applicable and accrued fees and civil penalties shall constitute grounds for denial or forfeiture of a license. In an effort to assist Licensee with a prompt payment, LPA provided the PIN number, which can be used to pay the balance immediately at CCLD website http://www.ccld.ca.gov/ .

No citation was issued on this day, however, the following advisory was given: please pay the Annual Licensing Fees to prevent further action. This is no t a citation but an advisory. Administrator agreed to pay fees on or by 3/6/2025.

An exit interview was conducted. This report was reviewed with Aurora and a copy of this report was left at the facility

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