<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700552
Report Date: 05/06/2021
Date Signed: 05/06/2021 11:53:43 AM

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:EDEN'S HOME CARE RCFEFACILITY NUMBER:
342700552
ADMINISTRATOR:ROOT, LINDZIE MARIEFACILITY TYPE:
740
ADDRESS:5917 KIFISIA WAYTELEPHONE:
(916) 524-1280
CITY:FAIR OAKSSTATE: CAZIP CODE:
95628
CAPACITY:6CENSUS: 5DATE:
05/06/2021
TYPE OF VISIT:Case Management - Legal/Non-complianceANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Suzanne Thomas, LicenseeTIME COMPLETED:
11:00 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
A non-compliance conference was conducted today via Webex, due to COVID-19 and precautionary measures. The purpose of this informal conference meeting was to discuss the most recent complaint and case management conducted that had resulted in 4 Type A and 5 Type B citations, as well as 2 civil penalties. Present in the meeting was Regional Manager Alycia Berryman, Licensing Program Manager Maribeth Senty, Licensing Program Manager Kevin Mknelly, Licensing Program Analyst Angela Hood, and the Licensee Suzanne Thomas. The conference process was explained during this meeting.

Issues discussed during this meeting were:
  • Citations pending plan of corrections (POCs)
  • Administrator accountability
  • Non-compliance regarding violations in care and supervision, seeking timely medical, Administrator responsibilities/qualifications, reporting requirements, criminal records clearances, and personnel requirements
  • Change of Ownership

The facility has stated that they will do the following to achieve continued and substantial compliance:
  • Remaining POCs will be submitted by 5/6/21
  • Application for change of ownership will be completed by 5/6/21
  • Licensee, Larry Thomas, will be associated to facility by 5/6/21.
  • Facility plans to secure a temporary Administrator by Monday, 5/10/21


During today's visit, civil penalties will be assessed for the outstanding POCs on the following LIC421FC pages.

An exit interview was conducted and a copy of this report will be provided to the facility via email. A copy must be signed and returned to CCLD. Appeal Rights provided.
SUPERVISOR'S NAME: Maribeth SentyTELEPHONE: (916) 214-0485
LICENSING EVALUATOR NAME: Angela HoodTELEPHONE: 650-676-0390
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1