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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700828
Report Date: 03/05/2025
Date Signed: 03/05/2025 01:56:51 PM

Document Has Been Signed on 03/05/2025 01:56 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 SERENITY OF ELK GROVE IIIFACILITY NUMBER:
342700828
ADMINISTRATOR/
DIRECTOR:
CASTRO, BIANCAFACILITY TYPE:
740
ADDRESS:9442 MAZATLAN WAYTELEPHONE:
(916) 585-5483
CITY:ELK GROVESTATE: CAZIP CODE:
95624
CAPACITY: 6CENSUS: 4DATE:
03/05/2025
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:08 PM
MET WITH:Omar Slypher, Staff on dutyTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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On 3/5/2025, Licensing Program Analyst (LPA) Arvin Villanueva arrived unannounced to conduct a case management visit. LPA met with staff on duty, Omar Slypher (S1) and stated the purpose of this visit. Administrator, Bianca Castro, was notified of this visit. Present during this visit were 3 residents in care with 1 staff on duty (S1). 1 of 4 resident was out in the community.

Overview: During a Non-Compliance Conference (NCC) meeting with Bianca Castro, Licensee, on 11/6/2024, regarding another facility under her administration, the Department determined that increased monitoring was required to ensure the facility's compliance. The Department has also determined that licensee is not to admit new residents until further notice and to appoint new administrator. Licensee has agreed to these terms.

LPA conducted a physical inspection of the facility. Room temperature was measured at 76*F and hot water temperature was measured at 116.8*F in one of the bathrooms. 2 resident bedrooms were inspected and were observed to be clean and good repair. 1 resident bathrooms was inspected and were observed to be maintained and in good repair. Kitchen was observed to be clean and in good repair. Facility continues to maintain at least 2-day perishables and 7-day nonperishables food items. Medications, sharp objects, cleaning supplies, and other dangerous materials were observed to be locked and inaccessible to residents in care.

Bianca remains the current administrator; no new administrator has been hired. Per interview with S1, no new residents have been admitted since the last visit on 2/11/2025. Per interview with S1, no new staff have been associated to the facility since the previous visit on 2/11/2025. Per Bianca, she will provided 60-day notice to all residents in care on 3/6/2025 regarding the change of ownership that is currently in process.

Exit interview was conducted with Omar and a copy of this report was provided.

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Arvin Villanueva
LICENSING EVALUATOR SIGNATURE: DATE: 03/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2025
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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