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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700111
Report Date: 01/30/2023
Date Signed: 01/30/2023 04:13:10 PM


Document Has Been Signed on 01/30/2023 04:13 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
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926



FACILITY NAME:DELICATE STEMS FOR THE ELDERLYFACILITY NUMBER:
342700111
ADMINISTRATOR:GIUCHICI, ELENAFACILITY TYPE:
740
ADDRESS:7008 HERSHBERGER COURTTELEPHONE:
(916) 370-2417
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY:4CENSUS: 0DATE:
01/30/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
03:50 PM
MET WITH:Elena Guichici, Administrator TIME COMPLETED:
04:15 PM
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Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct an annual inspection. LPA met with administrator Elena Giuchici during today's inspection.Prior to conducting today's inspection, LPA completed the required Department Covid protocols. LPA wore a surgical mask upon entering the facility.
Currently, the location is not operating as an RCFE facility, as licensed. Administrator stated she is the process of changing the use of the living room for herself and family. Administrator stated she plans to reopen the facility sometime this year and her daughter will be the Administrator. Administrator was informed to notify the Department if she decides to admit residents.

LPA and Administrator toured the facility to ensure there were no residents on site. LPA observed (2) vacant shared resident rooms. LPA observed facility license posted on the wall.

There are no deficiencies being issued on this report.

Exit interview. Copy of report left with Administrator.
SUPERVISOR'S NAME: Maribeth SentyTELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Sabrina CalzadaTELEPHONE: (510) 829-2133
LICENSING EVALUATOR SIGNATURE:
DATE: 01/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/30/2023
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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