Senior Care Records.

Facility Evaluation Report

Cupino Home, Elk Grove05/20/2025Licence 342700185

Capacity4
Census4
Date signed05/20/2025 04:03:44 PM
Name of licensing program analystSommer Hayes
Name of licensing program managerStephen Richardson
The inspector’s account

On 05/20/2025 unannounced annual inspection was made to this facility by Licensing Program Analysts (LPAs) Sommer Hayes and Arvin Villanueva. The LPAs identified themselves and the purpose of the visit and asked to speak to the Designated Facility Administrator. LPAs was met by Monica Butay the Facility Administrator and a brief interview followed.

LPAs observed the smoke detector and carbon monoxide detector. Both were tested and found in good repair. Fire extinguishers were in the hallway and in the kitchen were observed and in compliance. They were last serviced on 10/31/2024. Fire Extinguishers were serviced by River City Fire.

The kitchen was accessible to residents and clean and sanitary. The LPAs observed 7 days of non-perishable and 2 days of perishable food supplies. Freezer is 0 degrees F. Refrigerator is 40 degrees F. There is enough clean plates and cutlery to meet capacity. Opened packages in the refrigerator were dated appropriately. All pantry items were dated as well.

The garage was accessible to residents with supervision, clean and sanitary. The LPAs observed a hot water heater that was protected with a black gate and a self-latching lock. Garage contained three exercise equipment, a staff refrigerator, holiday decorations and table and chairs. There was a door leading to the backyard that was locked.

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