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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700765
Report Date: 01/07/2021
Date Signed: 01/07/2021 11:58:41 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
FACILITY NAME:SUNRISE SENIOR CAREFACILITY NUMBER:
342700765
ADMINISTRATOR:CARSEL, DANIELFACILITY TYPE:
740
ADDRESS:6729 SUGAR MAPLE WAYTELEPHONE:
(916) 560-8903
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY:6CENSUS: 6DATE:
01/07/2021
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Dan Carsel, AdministratorTIME COMPLETED:
11:35 AM
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Licensing Program Analyst (LPA) Bethany Huusfeldt and Licensing Program Manager (LPM) Troy Ordonez spoke to Administrator Dan Carsel. Due to COVID precautions, meeting was conducted over the phone.

The office meeting was conducted to discuss an eviction of a resident for non-payment. LPA and LPM discussed eviction procedures with administrator. Administrator discussed the possibility of a closure. CCL advised administrator to contact the department if a closure will occur. In addition, Administrator discussed with CCL staffing for the facility.

LPA will send regulations of a proper eviction notice to administrator. Administrator agrees to notified CCL if closure of facility will occur.

LPA will email a copy of this report to Administrator to review and sign.

Exit interview conducted.
SUPERVISOR'S NAME: Troy OrdonezTELEPHONE: (916) 263-4832
LICENSING EVALUATOR NAME: Bethany HuusfeldtTELEPHONE: (916) 591-1072
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2021
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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