Senior Care Records.

Facility Evaluation Report

Sumerlin Guest Home 2, Elk Grove10/21/2024Licence 342701514

Capacity6
Census3
Date signed10/21/2024 11:11:05 AM
The inspector’s account

On 10/21/24, Licensing Program Analyst (LPA) Arvin Villanueva arrived unannounced to this facility to conduct a case management visit. LPA Villanueva met with Staff Eric Serrano, and stated the purpose of the visit.

Present during today's visit were 3 residents in care with 2 staff on duty.

During this visit, LPA obtained copy of resident files (R1, R2, and R3), including their Identification and Emergency Information, Pre-Placement Appraisal Information, current Physician Report and current Needs and Services Plan. Per Administrator, current residents are not currently receiving outside agency services.

No deficiencies are being cited during today's visit.

Exit interview was conducted with Eric Serrano and a copy of this report was provided.

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