Senior Care Records.

Facility Evaluation Report

Senior Guest Home, Elk Grove12/17/2025Licence 342701508

Capacity6
Census4
Date signed12/17/2025 12:19:28 PM
Name of licensing program analystArvin Villanueva
Name of licensing program managerStephen Richardson
The inspector’s account

On 12/17/2025, Licensing Program Analyst, Arvin Villanueva (LPA), arrived at this facility unannounced to conduct the open a complaint related to this facility (Complaint #27-AS-20251208152635) LPA initially met with staff on duty, Laisa Peters (S1) and stated the purpose of the visit. S1 notified the Administrator, Bulou Matamadua, of the visit. Apakuki Nawasa (S2), identified as Bulou's husband, arrived shortly after.

During this visit, LPA requested copy of records. Per S2, their copy machine is not working. LPA requested to remove the following files for the purpose of copying at the Regional Office:

Resident files for (R1, R2, R3, R4): files removed include, but not limited to,

Staff files for (S1, S3, S4, S5): files removed include:

Exit interview was conducted with S2 to inform that LPA will return these files later today. Copy of this report was provided.

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