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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700907
Report Date: 01/17/2025
Date Signed: 01/17/2025 01:13:02 PM

Document Has Been Signed on 01/17/2025 01:13 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:HOPEFUL TOMORROW HOMES, LLCFACILITY NUMBER:
342700907
ADMINISTRATOR/
DIRECTOR:		ANDRADA, MONALYNFACILITY TYPE:
737
ADDRESS:12857 CHEROKEE LANETELEPHONE:
(916) 890-4282
CITY:GALTSTATE: CAZIP CODE:
95632
CAPACITY: 4CENSUS: 4DATE:
01/17/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Monalyn Andrada, JoJo AndradaTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
NARRATIVE
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Licensing Program Analyst (LPA) Christina Valerio arrived unannounced to conduct a case management - deficiencies visit. LPA Valerio met with Administrator Monalyn Andrada, and explained the purpose of the visit. Administrator Monalyn designated Jojo to sign on her behalf.

The Regional Office received notification on 11/14/2024 that the facility had an unannounced visit from Department of Developmental Services (DDS). During the visit, DDS staff witness the facility to be out of compliance with the funded staffing ratios for all clients. During the visit, the facility had four residents in care, and all residents are funded at 1:1 for each resident during AM and PM shifts, plus a lead staff. During the visit, DDS staff observed only two staff on shift.

The Licensee, communicated to DSS staff during a remote review of the deficiency that one staff had gone on a 10-minute break to purchase donuts, one was cleaning the office, and one arrived late.

Per California Code of Regulation (CCR) - Title 22, Division 6, Chapter 1, deficiencies are being cited on the attached LIC 809 -D page. Failure to correct deficiency may result in civil penalties. An exit interview was held, and a copy of the report was provided. Appeal rights were provided to facility staff Jojo Andrada
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Christina Valerio
LICENSING EVALUATOR SIGNATURE: DATE: 01/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/17/2025
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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Document Has Been Signed on 01/17/2025 01:13 PM - It Cannot Be Edited


Created By: Christina Valerio On 01/17/2025 at 12:24 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: HOPEFUL TOMORROW HOMES, LLC
FACILITY NUMBER: 342700907

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/17/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/10/2025
Section Cited
CCR
80078(a)

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80078 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the client's needs. This requirement was not met as evidenced by:
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Licensee will submit a detailed plan of how they will ensure staff schedules meet each resident's staffing ratio need by POC due date.
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The licensee did not ensure 5 out 5 staff were present in the facility to meet facility staffing requirements, which is a potential health, saftey, and personal rights risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Stephen Richardson
LICENSING EVALUATOR NAME:Christina Valerio
LICENSING EVALUATOR SIGNATURE:
DATE: 01/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/17/2025


LIC809 (FAS) - (06/04)
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