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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 315002800
Report Date: 06/26/2024
Date Signed: 06/27/2024 09:43:25 AM


Document Has Been Signed on 06/27/2024 09:43 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
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: 4DATE:
06/26/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Tatiana Magurean, LicenseeTIME COMPLETED:
05:00 PM
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On June 26, 2024. LPA Tryon visited the facility to conduct an annual visit. LPA was greeted by . Licensee Tatiana Magurean.

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.
LPA spoke with staff; and interviewed 2 residents.

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: 06/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/26/2024
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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