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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700014
Report Date: 12/13/2023
Date Signed: 12/13/2023 03:24:26 PM


Document Has Been Signed on 12/13/2023 03:24 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:A BRIGHT FUTUREFACILITY NUMBER:
342700014
ADMINISTRATOR:IOVITA, ALEXEIFACILITY TYPE:
740
ADDRESS:4136 SINGING TREE WAYTELEPHONE:
(916) 390-9367
CITY:ANTELOPESTATE: CAZIP CODE:
95843
CAPACITY:6CENSUS: 4DATE:
12/13/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Administrator-Alexei Iovita TIME COMPLETED:
03:30 PM
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On 12/13/23, Licensing Program Analyst (LPA) Cheyenne Ratajczak and Licensing Program Manager (LPM) Laura Munoz arrived at the facility unannounced to conduct a required 1- year annual inspection. LPA and LPM met with Administrator Alexei Iovita and explained the purpose of this visit.

LPA, LPM and Administrator conducted a tour of the facility. Areas toured included but not limited to the kitchen, dining room, six (6) resident bedrooms. three (3) bathrooms, laundry room, common areas and backyard. LPA observed sufficient furniture and lighting throughout the facility. LPA observed there is sufficient food supplies for seven (7) day non-perishable and two (2) day perishable. LPA observed toxins and knives to be locked and inaccessible to residents in care. LPA also observed centrally stored medications are kept locked and inaccessible to residents.

Hot water temperature was measured at 110 degrees Fahrenheit in kitchen sink, which is within the required range of 105 to 120 degrees. Fire extinguishers was last inspected on 10/06/23. Smoke detectors are current and in compliance with fire safety including carbon monoxide detector.

LPA and LPM reviewed three (3) staff files and two (2) residents files all files have the correct documents.

No deficiencies are being cited as a result of today’s inspection.

Exit interview conducted and copy of report left at the facility.
SUPERVISOR'S NAME: Laura MunozTELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Cheyenne RatajczakTELEPHONE: (916) 969-7879
LICENSING EVALUATOR SIGNATURE:
DATE: 12/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/13/2023
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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