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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 347001314
Report Date: 12/20/2023
Date Signed: 01/11/2024 11:12:44 AM

Document Has Been Signed on 01/11/2024 11:12 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:SUNRISE RESIDENTIAL CARE SERVICES, INC. (#2)FACILITY NUMBER:
347001314
ADMINISTRATOR:DICKEY, MAYEFACILITY TYPE:
735
ADDRESS:8139 WACHTEL WAYTELEPHONE:
(916) 725-6647
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY: 6CENSUS: 6DATE:
12/20/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Luzviminda "Mindy" Graganta, AdministratorTIME COMPLETED:
10:55 AM
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**This report was amended on 1/11/2024 due to sensitive information being included in the original report**. Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced on 1/11/2024 at 10:35 am to deliver the amended report and met with Luzviminda "Mindy" Graganta, Co-Administrator. Currently there are (5) clients residing in the home, All clients were attending day program or outside the community at the time of the inspection. LPA and Administrator contacted Maye Dickey, Administrator to explain the reason for the inspection. The following information replaced the information in the original report:

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection to provide investigative findings to an incident alleged to occur on March 30, 2023. LPA met with Luzviminda "Mindy" Graganta, Administrator, and explained purpose of the inspection. Administrator informed LPA that (5) clients were currently attending day program or out of the facility. One client returned during the inspection.


The Department investigated an incident alleging sexual assault. The Department conducted interviews with staff and residents, and the police department also conducted an interview(s).

There was no evidence found to substantiate the allegation.

There are no deficiencies issued in this report.

LPA obtained the original report back from the Administrator.

**Page 809C-1 was also amended for the same reason.
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Sabrina Calzada
LICENSING EVALUATOR SIGNATURE: DATE: 12/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/20/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: SUNRISE RESIDENTIAL CARE SERVICES, INC. (#2)
FACILITY NUMBER: 347001314
VISIT DATE: 12/20/2023
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809C-1..***This page was also amended on 1/11/2024 due to sensitive information being included in the original report. All of the information on this page on the original report was deleted.**

There is no other information listed on this page of this amended report.

Exit interview. Copy of report provided.
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Sabrina Calzada
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2023
LIC809 (FAS) - (06/04)
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