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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700731
Report Date: 02/25/2025
Date Signed: 02/25/2025 03:33:49 PM

Document Has Been Signed on 02/25/2025 03:33 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 SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:LOVE AND COMFORT ELDERLY CAREFACILITY NUMBER:
342700731
ADMINISTRATOR/
DIRECTOR:		CLEOPATRA GARDINERFACILITY TYPE:
740
ADDRESS:6532 RANCHO GRANDE WAYTELEPHONE:
(916) 594-9378
CITY:SACRAMNETOSTATE: CAZIP CODE:
95828
CAPACITY: 6CENSUS: 5DATE:
02/25/2025
TYPE OF VISIT:OfficeANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Ratu VunimatanaTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
NARRATIVE
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An office meeting was held today via Microsoft Teams to discuss the Stipulation and Waiver and Order for Licensee Ratu Vunimatana.

Present in today’s meeting from Sacramento South Regional Office: Regional Manager (RM) Stephanie Doub, Licensing Program Manager (LPM) Czarrina Camilon -Lee, LPM Stephen Richardson, Licensing Program Analyst (LPA) Christina Valerio, LPA Kevin Gould

Present in Today’s meeting from Sacramento North Regional Office: LPM Anthony Perez

Present in today’s meeting from representatives of Love and Comfort LLC and Villa Natomas Elderly Care LLC: Licensee Ratu Vunimatana

The preceding Stipulation herby is adopted by the Department as its Decision in this matter. It is so ordered this 6th day of February 2025.

Topics Discussed:

· Findings


· Revocation of License – Love and Comfort LLC, Facility #342700758 and #342700731
· Revocation of Administrator Certificate
· Revocation- Stayed with Probation – 3 Years - Villa Natomas Elderly Cre LLC, Facility #342700925
· Exclusion- Stayed with Probation
· Terms of Probation
· Application for Administrator’s Certificate
· Future Application for a License, Registration, Certification of Approval
· Tolling of Probationary Period
· Completion of Probation
Continues on LIC 809 - C...
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Christina Valerio
LICENSING EVALUATOR SIGNATURE: DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/25/2025
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: LOVE AND COMFORT ELDERLY CARE
FACILITY NUMBER: 342700731
VISIT DATE: 02/25/2025
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continued from LIC 809
Topics Discussed:
· Violation of Stipulation Term
· Department’s Authority
· Monitoring Fee
· Waiver of Hearing Rights
· Waiver of Appeal/Modification Rights
· Waiver of Claims
· Severable Terms
· Public Record
· Signatures
· Counterparts
· Effective Date
· No Oral Modification
· Representations RE: Corporate Licensee

Licensee will do the following:
· Provide CCL copies of the 60-day written notice given to each client by COB 02/26/2025
· Provided CCL a list of all clients who have been served with the notice to relocate, as well as name, address, and telephone number of the place to which each client has been relocated
· Continue to communicate with CCL regarding the identity of the prospective buyer or transfer of the facility
· Licensee agrees to pay $500 per month until the full balance is paid for the assessed civil penalty of $10,000

CCL will do the following:
· Continue to collaborate and communicate with licensee
· Conduct quarterly monitoring

Per California Code of Regulations (CCR) – Title 22, Division 6, Chapter 8, no deficiencies are being cited. An exit interview was held, and a copy of this report will be delivered via email. Licensee Ratu Vunimatana will review, sign, and send the signed report to assigned LPA.
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Christina Valerio
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025
LIC809 (FAS) - (06/04)
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