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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700907
Report Date: 09/19/2024
Date Signed: 09/19/2024 12:40:22 PM

Document Has Been Signed on 09/19/2024 12:40 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: DATE:
09/19/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:TIME VISIT/
INSPECTION COMPLETED:
12:55 PM
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Licensing Program Analyst (LPA) Christina Valerio arrived unannounced to conduct an annual required inspection. LPA Valerio met with Administrator Monalyn Andrada, and explained the purpose of the visit.

LPA Valerio observed four (4) staff members and two (2) residents in care. The other residents were out on an outing. LPA Valerio and Administrator Monalyn toured the facility to ensure compliance with Title 22 regulations. LPA Valerio observed common areas to be clean and free from debris. Resident bedrooms appeared to be fully furnished, to have personalized decor, and to be free from pest. Resident bathrooms were fully stocked with hygiene items. Hot water was measured within regulatory range of 105-120 degrees F. The kitchen was free from debris. Sharps and chemicals were locked and inaccessible to residents in care. The exterior plant was observed. There is an area for outdoor seating and outdoor activities. Shed is being utilized for storage. No emergency exits were obstructed during the visit. Fire Drill was tested during today's visit.

Staff were observed assisting residents, cleaning the kitchen from breakfast, preparing lunch, and taking the residents on the outing. Residents were observed eating, talking on the phone, going on an outing, and engaging with staff.

LPA Valerio reviewed two (2) resident files. Resident files were observed to be complete with required documentation. Three (3) staff files were reviewed. Staff were observed to have up to date first aid certification. Technical Assistance was provided for RBT training due to a citation being issued on a separate visit. Please see Case Management visit dated 09/19/2024.

LPA Valerio requested the following documentation: LIC 500, LIC 308, LIC 610, Copy of Surety Bond, and Copy of Lease Agreement

Per California Code of Regulations (CCR) - Title 22, no deficiencies are being cited today. An exit interview was held, and a copy of the report was provided to Administrator Monalyn.
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Christina Valerio
LICENSING EVALUATOR SIGNATURE: DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/19/2024
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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