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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 347000701
Report Date: 10/15/2024
Date Signed: 10/15/2024 04:12:17 PM

Document Has Been Signed on 10/15/2024 04:12 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:HETA FINAUFACILITY NUMBER:
347000701
ADMINISTRATOR/
DIRECTOR:		FINAU, HETAFACILITY TYPE:
735
ADDRESS:7804 JANA MARIE COURTTELEPHONE:
(916) 410-1756
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY: 4CENSUS: 2DATE:
10/15/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:50 PM
MET WITH:Heta Finau, Administrator TIME VISIT/
INSPECTION COMPLETED:
04:15 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
Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with Heta Finau, Administrator, and Sione Finau, staff, and explained purpose of inspection. The facility is a level- 2 home, vendorized by Alta Cailfornia Regional Center. There are currently (2) clients living in the home. The home is licensed for (4) ambulatory clients. Both clients are ambulatory. LPA observed (2) clients return from day program during today's inspection.

LPA and Administrator toured the interior and exterior of the facility including the common areas, (2) client bedrooms, (2) client bathrooms, kitchen, Administrators' room and bathroom, and laundry area. LPA observed the home to be clean, safe and in good repair. Each client door has a locking mechanism, as required by the Regional Center (Title 17). Clients were issued a key and Administrator also has one for emergencies. Inside temperature was observed to be 79*. Facility conducts monthly fire drills- last drill was 9/21/24 and clients participated also. Smoke/monoxide alarms are in working order. Fire extinguisher was last serviced 10/11/24. Hot water temperature measured 108*F in the kitchen. LPA observed sufficient 2+ day perishable and 7+day non-perishable supply of food- there is an additional freezer in the garage. LPA observed locked sharps and medications in the kitchen. There are (2) complete First Aid kits. There are sufficient towels/linens/blankets and paper products/PPE on site. There is a table with chairs and umbrella in the backyard and (1) unlocked exit. There is sufficient outdoor space for activities. There are no pools.

LPA reviewed (2) staff files and (2) client files. Staff files contained current training documentation, including First Aid/CPR. Administrator ARF certificate #7001133735 - exp 7/23/25. Client files contain current physician's reports and care plans. LPA reviewed P&I funds for (2) clients and funds on hand match records. There is a current surety bond (exp 2/12/26). Medications were reviewed for (1) client - documentation is current, and there were no discrepancies were found. Updated email address and phone number obtained.
Administrator to provide updated copy of LIC308, LIC500, LIC610D to LPA by 10/22/24. There are no deficiencies issued in the report. Exit interview. Copy of report provided.
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Sabrina Calzada
LICENSING EVALUATOR SIGNATURE: DATE: 10/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/15/2024
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