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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700014
Report Date: 12/05/2024
Date Signed: 12/05/2024 01:23:19 PM

Document Has Been Signed on 12/05/2024 01:23 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/
DIRECTOR:
IOVITA, ALEXEIFACILITY TYPE:
740
ADDRESS:4136 SINGING TREE WAYTELEPHONE:
(916) 390-9367
CITY:ANTELOPESTATE: CAZIP CODE:
95843
CAPACITY: 6TOTAL ENROLLED CHILDREN: 0CENSUS: 3DATE:
12/05/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:Administrator- Alexei IovitaTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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On 12/05/24 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a Required 1 year annual inspection. LPA met with Administrator Alexei Iovita and explained the purpose of the visit.

LPA and Administrator toured the interior and exterior of the facility. Areas toured include 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. Fire extinguishers was last inspected on 11/01/24. Smoke detectors are current and in compliance with fire safety including carbon monoxide detector. LPA reviewed drill logs.

LPA reviewed three (3) resident files and two (2) staff files all files contained the required documents.

LPA requested Administrator to send updated copies of the following by 12/09/24 to LPA
  • LIC308- Designation of Administrative Responsibility
  • Liability insurance
  • LIC500- Personnel Report
  • Administrator Certificate

No deficiencies being cited during today's inspection.

Exit interview conducted and report provided
Laura MunozTELEPHONE: (916) 263-4743
Cheyenne RatajczakTELEPHONE: (916) 969-7879
DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/05/2024
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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