Facility Evaluation Report

JVC LLC, Elverta04/28/2025Licence 345920011

Capacity6
Census3
Date signed04/28/2025 02:02:27 PM
Name of licensing program analystCassie Yang
Name of licensing program managerAnthony Perez
The inspector’s account

Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a case management visit. LPA met with Administrator and explained the purpose of the visit.

Today's visit, LPA and Administrator discussed the facility's plan of change of ownership. LPA and Administrator discussed issuing residents, responsible parties and LPA a copy of a 60 day change of ownership notification. Additionally, LPA and Administrator discussed hospice waiver, required staff training, required resident and staff documents.

- HSC 1569.625 Staff training; legislative findings; contents

- HSC 1569.626 Training requirements for direct care staff

- HSC 1569.69 Employees assisting residents with self-administration of medication; training requirements

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