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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700525
Report Date: 04/15/2024
Date Signed: 04/15/2024 11:50:43 AM


Document Has Been Signed on 04/15/2024 11:50 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:ALMOND HEIGHTSFACILITY NUMBER:
342700525
ADMINISTRATOR:MACDONALD, STEPHENFACILITY TYPE:
740
ADDRESS:8685 GREENBACK LNTELEPHONE:
(916) 542-7988
CITY:ORANGEVALESTATE: CAZIP CODE:
95662
CAPACITY:145CENSUS: 119DATE:
04/15/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:35 AM
MET WITH:Administrator, Stephen MacDonald TIME COMPLETED:
12:00 PM
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On 04/15/24, LPA Talwinder Bains conducted a plan of correction (POC) visit to follow-up on citations issued on 03/20/24. LPA met with administrator, Stephen MacDonald and explained the purpose of the visit.

Although the facility submitted documentation to clear the citations issued on 03/21/24, the Department will not be accepting the staff training sign-in sheets due to discrepancies with the date, time and attendance of staff at the training.

As of this date, the plan of correction for the citations issued on 03/20/24 are outstanding.

Should the facility fail to provide adequate documentation to satisfy the plan of corrections as agreed by 04/18/24, COB, the Department may assess civil penalties for failure to correct deficiencies.

Exit interview conducted and copy of the report was provided.





SUPERVISOR'S NAME: Laura MunozTELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Talwinder BainsTELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:
DATE: 04/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/15/2024
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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