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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 345002928
Report Date: 10/08/2024
Date Signed: 10/08/2024 10:42:46 AM

Document Has Been Signed on 10/08/2024 10:42 AM - 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:ASPEN RIDGE COMMUNITIES LLC 2FACILITY NUMBER:
345002928
ADMINISTRATOR/
DIRECTOR:		VINSON, DEONTEEFACILITY TYPE:
735
ADDRESS:4424 PENWITH WAYTELEPHONE:
(916) 450-9206
CITY:NORTH HIGHLANDSSTATE: CAZIP CODE:
95660
CAPACITY: 6CENSUS: 5DATE:
10/08/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:35 AM
MET WITH:Administrator, NaTasha HardenTIME VISIT/
INSPECTION COMPLETED:
10:45 AM
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On 10/08/24, Licensing Program Analyst (LPA) Talwinder Bains made an unannounced visit to conduct facilities required annual inspection. LPA met with Administrator, NaTasha Harden and explained the purpose of today's visit. LPA learnt 2 residents were at day program and 3 were present during this visit.

LPA and administrator completed the inspection tool questionnaire with no issues.

LPA inspected the interior and the exterior of the facility including the common living spaces, resident bedrooms and bathrooms, staff room, backyard area and kitchen. Bathrooms and bedrooms were clean and in good repair. There is a locked storage for medications and toxins. Food supply is adequate for 2-day perishable and 7-day nonperishable. Smoke alarms and carbon monoxide alarm were in good working order. Fire extinguisher was last serviced on 12/14/23 and was ready for emergency use. LPA observed an adequate amount of linens. Hot water temperature measured at 106 degrees F. Washer and dryer was present and working. Facility was conducting quarterly fire and disaster drill as required.

LPA reviewed two (2) residents records and two (2) staff records. A review of staff records indicates that all facility staff have received criminal record clearances and/or are associated to this facility. Facility is conducted staff training as required. LPA reviewed medications for two (2) residents and found no errors. LPA checked P&I accounts for 2 residents and records found to be correct.

No deficiencies were observed and cited per Title 22, CCR Regulations during this visit.



Exit interview conducted. Copy of this report was provided.
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE: DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/08/2024
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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