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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700045
Report Date: 10/07/2024
Date Signed: 10/07/2024 12:41:27 PM

Document Has Been Signed on 10/07/2024 12:41 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 SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:ENCAREFACILITY NUMBER:
342700045
ADMINISTRATOR/
DIRECTOR:		WASDYKE, GINAFACILITY TYPE:
735
ADDRESS:11041 CARMENET WAYTELEPHONE:
(916) 594-9332
CITY:RANCHO CORDOVASTATE: CAZIP CODE:
95670
CAPACITY: 4CENSUS: 4DATE:
10/07/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Gina WasdykeTIME VISIT/
INSPECTION COMPLETED:
12:50 PM
NARRATIVE
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On 10/07/24, Licensing Program Analyst (LPA) Kimberly Viarella made an unannounced visit to this facility to conduct an annual inspection. The LPA identified herself upon arrival, stated the purpose of the visit and asked to speak to the designated facility Administrator, Gina Wasdyke. Staff contacted the Administrator and she arrived after approximately 20 minutes. A brief interview followed.

LPA began the visit by comparing the Guardian Roster to the LIC 500. All staff were cleared and the facility was in compliance at the time of inspection.

LPA inspected all common areas including by not limited to the: kitchen, dining room, living room. These areas contained the required furniture, furnishings, and lighting to be in compliance.

This LPA went on to inspect the 4 resident bedrooms. These too, contained the necessary items to be in compliance at the present time.

The fire extinguishers were last inspected on 11/01/23 by Jorgensen Co. and were in compliance at the time of inspection.

LPA tested the hot water in bathroom 1 located closest to the kitchen. The water temperature registered 108.8 degrees Fahrenheit and was also in compliance. LPA observed that both bathrooms had grab bars, soap, and paper towels and were in compliance.

LPA observed the Administrator Certificate for Gina Wasdyke (#7033028735) was posted with an expiration date of 12/11/25. The Designee for this facility, Angeline Torres, RN, also had her Administrator's Certificate (#7011084735) posted with an expiration date of 01/06/26.
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Kimberly Viarella
LICENSING EVALUATOR SIGNATURE: DATE: 10/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/07/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: ENCARE
FACILITY NUMBER: 342700045
VISIT DATE: 10/07/2024
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This LPA inspected the food supply and found that it was adequate for 2-day perishable and 7-day nonperishable. A sample of items were taken from the refrigerator. All were current and none had expired. All knives were locked and inaccessible to residents in care.

Medications were kept locked in a medication cart in the kitchen and inaccessible to clients in care. Refrigerated medications were kept in a locked box in the refrigerator and also inaccessible to residents. The first aid kit was inspected and contained all of the necessary components.

LPA reviewed resident files and found them to be current and in compliance. LPA reviewed 4 staff files and found them all to be in compliance at the time of this inspection.

LPA and Administrator conducted an inspection of the perimeter of the facility. There were no outbuildings or bodies of water present. There was a patio with shaded areas with outdoor furniture for residents to enjoy. All windows, screens and gutters were in good repair and the yard was free of debris.

According to the California Code of Regulations, Title 22, no deficiencies were observed or cited during today's visit and a copy of this report was provided.

An exit interview was conducted with Gina Wasdyke.
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Kimberly Viarella
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2024
LIC809 (FAS) - (06/04)
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