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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045002778
Report Date: 09/07/2022
Date Signed: 09/07/2022 03:31:08 PM


Document Has Been Signed on 09/07/2022 03:31 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926



FACILITY NAME:ROSELEAF SENIOR CAREFACILITY NUMBER:
045002778
ADMINISTRATOR:GUARINO, SAMANTHAFACILITY TYPE:
740
ADDRESS:2180 HUMBOLDT ROADTELEPHONE:
(530) 924-4804
CITY:CHICOSTATE: CAZIP CODE:
95928
CAPACITY:16CENSUS: 5DATE:
09/07/2022
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Samantha Guarino and Sridhar NaguynuriTIME COMPLETED:
01:45 PM
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An office meeting was held on 9/7/2022, via Microsoft Teams to discuss topics listed in this report. The purpose of today's meeting is to follow up on the meeting previously held on 7/22/2022.
The following Licensing staff were present:
Regional Manager (RM) Alycia Berryman, Licensing Program Manager (LPM) Laura Munoz, and Licensing Program Analyst (LPA) Sabrina Calzada.
The following representatives present:
Administrator Amber Farmer (Roseleaf Oroville), Administrator Audre Smith (Roseleaf Gardens), Administrator Samantha Guarino (Roseleaf Senior Care), Stephen Ratliff Chief Operating Officer, CEO/Licensee Sridhar Naguynuri and Attorney Joel S. Goldman.
The following topics were discussed during today's meeting:
  • Physical plant:
  • Staffing levels to meet the needs of residents in care and considerations for determining how many staff are needed. Administrators provided specific staffing levels and resident census
  • Overall operations of facilities - role of consultant, increased staff meetings/training
  • Covid outbreak - currently all facilities are cleared through local public health. Discussed Infection Control Plan/visitation and consulting local public health for guidance.


Exit interview with Administrator. A copy of this report will be provided to Administrator. A copy will be signed and returned to CCL via e-mail.
SUPERVISOR'S NAME: Maribeth SentyTELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Sabrina CalzadaTELEPHONE: (510) 829-2133
LICENSING EVALUATOR SIGNATURE:
DATE: 09/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/07/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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