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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700731
Report Date: 02/07/2025
Date Signed: 02/07/2025 09:44:31 AM

Document Has Been Signed on 02/07/2025 09:44 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 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: 6DATE:
02/07/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Aisake RatuTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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On 2/7/25 at 9:00am Licensing Program analysts (LPAs) Kevin Gould and Cynthia Tamayo arrived and love and Comfort Elderly care for the purpose of conducting a required 1 year annual inspection. LPAs met with Staff member Aisake Ratu.

As LPAs were preparing to begin their inspection and obtaining the census, LPAs were informed a hospice resident has passed away this morning and their body is still in the facility awaiting to be collected by the coroner/mortuary.

LPAs are ending the inspection as the family are still on their way to pay respects and to give the facility appropriate space to deal the the recent death of a resident.

LPAs requested an updated Client roster to be filled out and emailed to LPA Kevin Gould.

Exit interview conducted and a copy of this report was left at the facility.
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Kevin Gould
LICENSING EVALUATOR SIGNATURE: DATE: 02/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/07/2025
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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