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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700711
Report Date: 01/22/2025
Date Signed: 01/22/2025 02:19:15 PM

Document Has Been Signed on 01/22/2025 02:19 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
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:LOVING CARE SENIOR LIVINGFACILITY NUMBER:
342700711
ADMINISTRATOR/
DIRECTOR:
RONSTADT, STEVENFACILITY TYPE:
740
ADDRESS:4436 JAN DRIVETELEPHONE:
(916) 844-7271
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY: 6TOTAL ENROLLED CHILDREN: 0CENSUS: 6DATE:
01/22/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Kelly Conley, Administrator; Steven Ronstadt, LicenseeTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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On 1/22/2025 LPA Tryon visited the facility to do an annual visit and inspection. LPA was greeted by staff, who contacted the Administrator and licensee. Administrator and licensee arrived a short time later.
LPA toured the facility including common areas, kitchen, bedrooms, bathrooms, hallways, storage areas, yard. Food supplies were reviewed and appear adequate to meet the requirement of 2 days perishable and 7 days non-perishable. Food appears varied and of generally good quality.
Medications are centrally stored, logged and locked. Some medications are kept in a separate, locked area.
The house is clean, nicely-furnished and well-taken care of. There is a large patio in back that is enclosed by a fence, allowing plenty of outside space. All bedrooms are spacious and appropriately furnished; the facility has 6 individual, private rooms for residents.
Smoke detectors and carbon monoxide detectors installed, fire extinguisher charged. Bathrooms are clean and functional.

LPA reviewed 2 resident files and 2 staff files.
LPA spoke with 2 staff, and one resident who was able to answer questions.

LPA completed the CARE Tool with licensee and administrator.

LPA requested updated copies of LIC 500, Liability Insurance. LPA viewed current Administrator Certificate on the wall of entryway.

At this time the facility appears to be in substantial compliance with regulations. No deficiencies were cited. Exit interview conducted.
Troy OrdonezTELEPHONE: (916) 263-4832
Todd TryonTELEPHONE: (916) 263-4700
DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/22/2025
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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