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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 312700311
Report Date: 11/30/2022
Date Signed: 11/30/2022 09:24:20 AM


Document Has Been Signed on 11/30/2022 09:24 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
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926



FACILITY NAME:ABOUTLIFE CARE FACILITYFACILITY NUMBER:
312700311
ADMINISTRATOR:SCUTARU, ELIZAVETAFACILITY TYPE:
740
ADDRESS:2705 LUPINE CTTELEPHONE:
(916) 844-8540
CITY:ROCKLINSTATE: CAZIP CODE:
95677
CAPACITY:6CENSUS: 5DATE:
11/30/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Tatiana DanuTIME COMPLETED:
09:30 AM
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On 11/30/22, Licensing Program Analyst (LPA) Kevin Mknelly, met with licensee, Tatiana Danu.

Prior to the inspection, LPA followed department Covid precautions. LPA was screened upon entering the home.

The purpose of this inspection was to conduct a health and safety check related to licensee's increased monitoring during probation.

LPA confirmed that licensee met all current probation conditions. LPA toured the home. The home is well maintained and residents appeared to have needs met. Alarms and staffing meet the facilities plan of correction for the incident that lead to the probation.

As a result of this inspection, no deficiencies were found.

Report reviewed and copy provided.

SUPERVISOR'S NAME: Maribeth SentyTELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Kevin MknellyTELEPHONE: (209) 814-1925
LICENSING EVALUATOR SIGNATURE:
DATE: 11/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/30/2022
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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