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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700758
Report Date: 03/14/2025
Date Signed: 03/14/2025 01:09:09 PM

Document Has Been Signed on 03/14/2025 01:09 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 IIFACILITY NUMBER:
342700758
ADMINISTRATOR/
DIRECTOR:		VUNIMATANA, RATUFACILITY TYPE:
740
ADDRESS:320 BOWMAN AVETELEPHONE:
(916) 832-3626
CITY:SACRAMENTOSTATE: CAZIP CODE:
95833
CAPACITY: 6CENSUS: 6DATE:
03/14/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Eliesa QioleleTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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Licensing Program Analyst (LPA) Holly Williams arrived unannounced to conduct a case management visit LPA Williams called the licensee and sent a text to the facility administrator Ratu Vunimatana but LPA Williams has not received a response. LPA Williams will use the staff member that always signs reports for Vunimatana named Eliesa Qiolele.

The plan of correction (POC) states licensee agrees to submit to LPA Williams in 24 hours a new and correct eviction notice and within 48 hours have them signed by the resident responsible parties. Licensee agrees to adhere to the Stipulation, Waiver and Order

Vunimatana was supposed to correct the eviction letter and send them to all the resident’s responsible parties. There are 2 resident that do not have responsible parties and that is R4 and R5. R2’s responsible party (RP1) called LPA Williams today and RP1 said that the phone number for Vunimatana is disconnected and would like to know the new number. LPA Williams asked if RP1 has received an eviction notice from Vunimatana and RP1 said no why what is going on? RP1 said that they have never received any letter from Vunimatana. LPA Williams asked R1’s responsible party on 3/12/25 and they said they received the letter on 3/3/25 which was not corrected at the time. On 3/12/25 Vunimatana sent a text to LPA Williams and stated that Vunimatana is resending the corrected eviction letter to get it signed by R2's responsible party.

 A civil penalty in the amount of $100 per day for a total of 7 days for a total of $700. Vunimatana had 24 hours to correct the written eviction notice and within 48 hours have the notices signed. LPA Williams has not received a corrected notice and 2 of the responsible parties have not received the corrected notice. An exit interview was held with Qiolele. Appeal rights and a copy of this report were left with Qiolele.

SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Holly Williams
LICENSING EVALUATOR SIGNATURE: DATE: 03/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/14/2025
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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