Senior Care Records.

Facility Evaluation Report

Senior Guest Home, Elk Grove10/21/2024Licence 342701508

Capacity6
Census1
Date signed10/21/2024 02:22:02 PM
The inspector’s account

On 10/21/24, Licensing program Analyst (LPA) Kimberly Viarella made an unannounced case management visit to this facility. LPA identified herself upon arrival, stated the purpose of the visit, and asked to speak to speak with the Designated Facility Administrator, Edylyne Johanna A Day (certificate # 6070622740, expiration date 05/28/26). The Administrator was not present but the LPA spoke to her on the phone and obtained permission for the Caregiver/ Designee, Marie Walker. to sign on her behalf.

LPA collected the following documents for the resident in care (R1):

LIC 308 to be updated and faxed to Community care Licensing by the close of business on 10/21/24 at (916) 263-4744.

According to the California Code of Regulations, Title 22, no deficiencies were cited during today's visit. A copy of this report was provided and an exit interview was conducted.

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