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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700705
Report Date: 09/26/2023
Date Signed: 09/26/2023 11:06:35 AM


Document Has Been Signed on 09/26/2023 11:06 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:SUN OAK ASSISTED LIVINGFACILITY NUMBER:
342700705
ADMINISTRATOR:KEY, KAYEFACILITY TYPE:
740
ADDRESS:7241 CANELO HILLS DRIVETELEPHONE:
(916) 722-2800
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY:78CENSUS: 43DATE:
09/26/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Kaila Ventosa, Asst Memory Care Director TIME COMPLETED:
11:05 AM
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Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection related to the pending management and ownership change. LPA met with Kaila Ventosa, Asst Memory Care Director, and explained purpose of the inspection. LPA was informed that the Administrator is temporarily on leave and is expected to return in October 2023.

LPA discussed pending ownership change with the Assistant Memory Care Director, who indicated that the new owners submitted an application one to two weeks ago, and the current owners are aware that the current licensee remains the licensee until the new license is approved (approximately 3-6 months).

LPA stated she would follow up with corporate as to the details of when the application was submitted. LPA received an email notification on 9/21/23 that on/around 10/1/23, the management change would occur, followed by a change in ownership. Also provided to the Department was a copy of the letter issued to residents, families and staff on 9/1/23 giving (30) days notice.

LPA observed multiple residents in the common areas.

There are no deficiencies issued during this inspection.

Exit interview. Copy of report provided to the Asst Memory Care Director.

SUPERVISOR'S NAME: Maribeth SentyTELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Sabrina CalzadaTELEPHONE: (510) 829-2133
LICENSING EVALUATOR SIGNATURE:
DATE: 09/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/26/2023
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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