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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 315002010
Report Date: 04/07/2022
Date Signed: 04/07/2022 11:15:59 AM


Document Has Been Signed on 04/07/2022 11:15 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:ROSEPOINTEFACILITY NUMBER:
315002010
ADMINISTRATOR:PINTEA, RAVECAFACILITY TYPE:
740
ADDRESS:6573 ROSE BRIDGE DRIVETELEPHONE:
(916) 783-1006
CITY:ROSEVILLESTATE: CAZIP CODE:
95678
CAPACITY:6CENSUS: 5DATE:
04/07/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Florica PinteaTIME COMPLETED:
11:15 AM
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Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 4/7/22 to conduct a Annual Inspection utilizing the infection control domain guidance. LPA met with Florica and explained the purpose of the visit. Prior to initiating the inspection, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms and contacted licensee and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical Mask. Additionally, LPA was screened by caregiver upon entering the facility.

LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA and Florica covered the infection control topics and facility was found to be in substantial compliance at this time.

LPA advised: maintaining visible hand washing signs at all hand washing sinks, record of staff vaccination status and weekly testing of those not fully vaccinated to be maintained at the facility, double check on guardian that staff fingerprinted are associated to the facility, Visitation sign be updated to current recommendations for testing, barrels be moved to allow unobstructed exit from side yard, medications are pre-poured not greater that 24 hours and develop a system that allows staff administering medication to know the medication and dose dispensed.

LPA requested Administrator submit: Resident roster, staff roster to CCL by 4/13/22.

No deficiencies are being cited as a result of todays inspection. Exit interview conducted and copy of report left at the facility.
SUPERVISOR'S NAME: Maribeth SentyTELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Kevin MknellyTELEPHONE: (209) 814-1925
LICENSING EVALUATOR SIGNATURE:
DATE: 04/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/07/2022
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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