Facility Evaluation Report
On May 20 , 2025, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a Plan of Correction (POC) visit regarding two deficiencies that was cited on April 25, 2025. LPA met with caregiver who attempted to contact Administrator who was unavailable.
Today's visit, LPA explained that POCs has not been received yet, copies of the report with deficiencies were emailed to Administrator's email on file on April 25, 2025 at 5:26 p.m. POC were due May 9, 2025. LPA informed caregiver that Licensee is to submit the POCs as soon as possible as civil penalties will continue to accrue.
87458 Medical Assessment - POC: Licensee is to conduct an audit of residents medical assessment to confirm tuberculosis testing are conducted. Licensee is to schedule residents an appointment for tuberculosis testing if missing on file.
87211 Reporting Requirements - POC: Licensee is to review the Reporting Requirement regulation and submit a statement of complian ce to LPA.
POC may be submitted via fax and/or email to Sacramento North Regional Office at:
Email: sacramentonorthregionalofficeascp@dss.ca.gov
As a result of today's visit, civil penalties were assessed for $100 per day it has not been received.
Exit interview and a copy of report and appeal rights provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction