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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700704
Report Date: 06/10/2024
Date Signed: 06/10/2024 11:50:40 AM

Document Has Been Signed on 06/10/2024 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:A HEARTY CARE HOME IFACILITY NUMBER:
342700704
ADMINISTRATOR/
DIRECTOR:		CLARDY, MARIA JFACILITY TYPE:
740
ADDRESS:5794 SPENLOW WAYTELEPHONE:
(916) 339-6440
CITY:SACRAMENTOSTATE: CAZIP CODE:
95835
CAPACITY: 6CENSUS: 4DATE:
06/10/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Caregiver, PauletteTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On June 10, 2024, Licensing Program Analyst (LPA) DeAnna Williams-Lyons arrived unannounced to conduct an Case Management Visit. LPA met with facility staff, Paulette and informed him the reason for the visit.

LPA received an email on June 7, 2024 regarding a facility resident. The facility is having Issues with the resident. According to staff, resident has changed behavior since arriving a month ago. The resident has a very short temper, yells at staff, and expects to be treated like a king at all times. LPA interviewed the staff that was working at that time and they stated they do not feel safe or comfortable around the resident due to the way the resident talks and treats them. Administrator, Maria Clardy, was not available at this time to discuss the resident's behavior.

LPA will return to the facility later in the week for a discussion with Maria.

Per California Code of Regulations, Title 22, no citations were issued. This case management visit WILL NEED FURTHER DISCUSSION.

A copy of this report was given to facility staff.
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: DeAnna Williams-Lyons
LICENSING EVALUATOR SIGNATURE: DATE: 06/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/10/2024
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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