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Facility Evaluation Report

Terene Manor, Windsor08/29/2025Licence 496803047

Capacity6
Census5
Date signed08/29/2025 02:29:17 PM
Name of licensing program analystRobert Frank
Name of licensing program managerVictoria Bertozzi
The inspector’s account

At approximately 12:15 PM, Licensing Program Analyst (LPA) Robert Frank arrived unannounced to conduct a case managment visit.

During an investigation visit for complaint 21-AS-20250624091321, LPA was told by facility Administrator Teresita Shevick that resident meals where held at the following times:

Lunch: 12:00 PM (LPA observed lunch being served during today's visit)

The time between dinner and breakfast is 16.5 Hours. California Code of Regulations (CCL) 87555(b)(1) states that no more than fifteen (15) hours shall elapse between the third and first meal.

A Technical Violation (TV) is being issued for the time between dinner and breakfast exceeding fifteen (15) Hours.

Exit interview conducted. Copy of report, LIC 9102 discussed and provided to Administrator Shevick. Signature on form confirms receipt of documents.

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