<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 286804120
Report Date: 02/19/2025
Date Signed: 02/19/2025 09:42:44 AM

Document Has Been Signed on 02/19/2025 09:42 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:RAMEILS SACRED CARE HOMES 1FACILITY NUMBER:
286804120
ADMINISTRATOR/
DIRECTOR:		JEFFERSON, JENEROFACILITY TYPE:
735
ADDRESS:1509 RIO GRANDETELEPHONE:
(310) 531-6049
CITY:AMERICAN CANYONSTATE: CAZIP CODE:
95403
CAPACITY: 6CENSUS: 4DATE:
02/19/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Rowena Radana, House ManagerTIME VISIT/
INSPECTION COMPLETED:
09:55 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
At approximately 9:00am, Licensing Program Analysts (LPAs) Chris Arnhold and Elias Magdaleno arrived at this facility unannounced, to conduct a Plan of Correction (POC) visit. LPAs met with House Manager Rowena Radana. On 12/30/2024, LPA made an unannounced visit and observed the Administrator was not and had not been present at the facility. LPA cited the violation and requested a written statement from Licensee and an updated LIC500, Personnel Summary. The documents were to be submitted by POC date of 01/06/2025. LPA made an unannounced visit on 01/15/2025 and issued a civil penalty of $100 per day, for nine (9) days, totaling $900, for failing to correct the deficiency. As of today's date, no documents have been received. A civil penalty of $100 per day, for thirty five (35) days is being issued, totaling $3,500. A civil penalty of $100 per day will continue to be assessed until the requested information has been received by the Department. LPA's spoke with licensee/administrator Jenero Jefferson on the telephone during this visit, Jenero stated he would send the requested information by end of day. Jenero also stated he needed to update the mailing address for the facility and will send an LIC200 to make this change.

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

This report was reviewed with Rowena Radana and Appeal rights were given.
SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Elias Magdaleno
LICENSING EVALUATOR SIGNATURE: DATE: 02/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/19/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1