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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 345002854
Report Date: 03/04/2025
Date Signed: 03/04/2025 01:38:10 PM

Document Has Been Signed on 03/04/2025 01:38 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 NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:ALMOND GROVE ASSISTED LIVINGFACILITY NUMBER:
345002854
ADMINISTRATOR/
DIRECTOR:
PRICE, DARRELLFACILITY TYPE:
740
ADDRESS:6135 ALMOND AVENUETELEPHONE:
(916) 988-7506
CITY:ORANGEVALESTATE: CAZIP CODE:
95662
CAPACITY: 78TOTAL ENROLLED CHILDREN: 0CENSUS: 56DATE:
03/04/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:20 AM
MET WITH:Administrator, Darrel Price TIME VISIT/
INSPECTION COMPLETED:
01:55 PM
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On 03/04/25, Licensing Program Analyst (LPA) Talwinder Bains arrived unannounced to conduct the annual inspection. LPA met with Assistant Director, Tosha Devi and explained the purpose of today's visit. Administrator, Darrel Price came after short while and assisted LPA with today's visit.

LPA toured facility with to ensure the health and safety of residents in care. LPA toured resident’s rooms, medication room, bathrooms, kitchen, dining room, common areas and activity areas. LPA observed residents in common areas participating in activities and in the dining room having lunch. The facility was found to be clean, safe, sanitary and in good condition. LPA observed the facility to have the mandated posters posted. Fire extinguishers are maintained and ready for emergency use. Facility has required food supplies. There are appropriate staff present to meet the needs of residents. Inside temperature was 72–74-degree F. Hot water measured between 110-120 in three different areas at facility was in required range 105-120 degree F. Facility was conducting fire and disaster drills per requirement.

LPA reviewed five (5) residents files and five (5) staff files. Staff records reviewed indicated training completed and other required paperwork. Resident’s files found to have required documentation. LPA reviewed two (2) residents medications comparing with current physician orders and found it to be correct. LPA checked the current narcotic medications log with staff and found no errors. LPA observed that medications were secured and were inaccessible to residents.

LPA completed the full care tool, and no deficiencies were observed or cited per Title 22 Regulations.

Exit interview conducted and a copy of the report was left at the facility.
Laura MunozTELEPHONE: (916) 263-4743
Talwinder BainsTELEPHONE: (916) 263-4700
DATE: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/04/2025
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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