<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 345920219
Report Date: 12/17/2024
Date Signed: 12/17/2024 12:34:06 PM

Document Has Been Signed on 12/17/2024 12:34 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:GOODMAN 2 GOODMAN LLCFACILITY NUMBER:
345920219
ADMINISTRATOR/
DIRECTOR:
GOODMAN, LINDAFACILITY TYPE:
735
ADDRESS:3323 Q STREETTELEPHONE:
(916) 344-8508
CITY:NORTH HIGHLANDSSTATE: CAZIP CODE:
95660
CAPACITY: 6CENSUS: 4DATE:
12/17/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Administrator Linda GoodmanTIME VISIT/
INSPECTION COMPLETED:
12:40 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 12/17/24 Licensing Program Analysts (LPAs) Cheyenne Ratajczak and Graham Gunby arrived at the facility announced to conduct a Pre- Licensing visit. LPAs met with Administrator, Linda Goodman to conduct Pre- Licensing visit. This application is a change in ownership (CHOW). This address is currently licensed as Goodman Guest Home, LIC#340302297. Administrator holds a current administrator certificate (#7034548735 with expiration date 09/01/2025). The facility currently has four (4) residents during today's inspection.

LPAs and Administrator conducted a tour of the interior and exterior of the facility. Areas toured include but not limited to resident bedrooms, bathrooms, kitchen, living room, laundry room, and common areas. Resident bedrooms were properly furnished and maintained. Bathrooms were observed to be clean and sanitary. Facility food supply is in compliance with two (2) days of perishable and seven (7) days of non-perishable food items. Smoke and carbon monoxide detectors are operational. The Fire extinguisher was serviced on 10/18/2024 All exits were unobstructed. All toxins, medications, and sharps were locked and stored away. Facility's temperature was 72 degrees Fahrenheit during inspection. First aid kit found to be complete. Required postings are posted throughout the facility.

Pre-licensing passed and Component III was completed. Applicant has satisfied all requirements in accordance to Title 22, California Code of Regulations. Application is pending and LPA will forward findings to the Centralized Application Bureau (CAB) for final review and approval. CAB will further contact applicant on final status of application. Exit interview conducted and a copy of this report was left at the facility.
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cheyenne Ratajczak
LICENSING EVALUATOR SIGNATURE: DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/17/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1