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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 315002800
Report Date: 07/24/2023
Date Signed: 11/09/2023 12:13:29 PM


Document Has Been Signed on 11/09/2023 12:13 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
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827



FACILITY NAME:SADDLEBACK LOVING HEARTSFACILITY NUMBER:
315002800
ADMINISTRATOR:MAGUREAN, TATIANAFACILITY TYPE:
740
ADDRESS:3400 BLUE GRASS DR.TELEPHONE:
(916) 844-4330
CITY:AUBURNSTATE: CAZIP CODE:
95602
CAPACITY:6CENSUS: 6DATE:
07/24/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Emanuela MigureanTIME COMPLETED:
04:30 PM
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On July 24, 2023 LPA Tryon visited the facility to conduct an annual visit. LPA was greeted by staff, who contacted Administrator Emanuela Migurean. Licensee Tatiana Magurean was away on vacation.
LPA toured the facility with Administrator including common areas, kitchen, food storage areas, bedrooms, bathrooms, hallways, yard. The home has a large, long enclosed patio/balcony on the back and a huge yard all around. The home is very spacious with private resident bedrooms. The home is very nice, clean, well-furnished. Rooms are all spacious and nicely furnished. Smoke detectors/carbon monoxide detectors installed and functioning. Fire extinguishers present and charged.
Food supplies are more than enough to meet the requirement of 2 days perishable and 7 days non-perishable food, appear to be of good quality and balanced nutrition.
Rooms are all furnished with appropriate furniture, bedding, lighting, etc. Hazardous chemicals and items are locked; medications are centrally stored and locked.
LPA reviewed the CARE Tool with Administrator.
At this time, the facility appears to be in substantial compliance with the regulations.

No deficiencies were cited at this visit. Exit interview conducted.
SUPERVISOR'S NAME: Troy OrdonezTELEPHONE: (916) 263-4832
LICENSING EVALUATOR NAME: Todd TryonTELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:
DATE: 07/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/24/2023
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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