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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 347001498
Report Date: 12/15/2023
Date Signed: 12/28/2023 02:55:35 PM


Document Has Been Signed on 12/28/2023 02:55 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:CITRUS HEIGHTS TERRACEFACILITY NUMBER:
347001498
ADMINISTRATOR:TONI JONESFACILITY TYPE:
740
ADDRESS:7952 OLD AUBURN ROADTELEPHONE:
(916) 727-4400
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY:45CENSUS: 44DATE:
12/15/2023
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Toni Jones, Administrator, and Robert Godfrey, Regional Director TIME COMPLETED:
04:55 PM
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NOTE: LPA provided an updated copy of this report to the Administrator on 12/28/23, when at the facility. The updated information was added to the original report (prefaced by ***), since the report was inadvertently not final printed.

Licensing Program Analyst (LPA) Sabrina Calzada arrived announced to attend a scheduled meeting with resident (R1's) family member(s) and Administrator, Toni Jones and Ombudsman. Also present was Robert Godfrey, Regional Director, (2) staff from (R1's) a placement agency, and (2) additional family members of (R1)- one attended by phone.

Multiple concerns were expressed by (R1's) family members related to the care being provided and medication administration. Staff training and better communications with each other was also discussed along with different solutions.

Facility staff indicated that there have been immediate staffing changes made related to medication management and administration. Also the facility is considering implementing a software system for medication management.

***The Regional Director discussed with (R1's) family members how their behaviors have been inappropriate, at times, when visiting the facility and included shouting and using obscenities. The Administrator stated that several staff have recently documented in writing how their interactions with (R1's) family members' have made them feel uncomfortable and stressed. The Regional Director requested that (R1's) family members speak directly to him, the Administrator or the Resident Care Coordinator related to any future concerns regarding care being provided and medications being administered.

LPA will evaluate and discuss notes from today's meeting with a manager.

There are no deficiencies issued in this report. Exit interview. Copy of report provided
SUPERVISOR'S NAME: Maribeth SentyTELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Sabrina CalzadaTELEPHONE: (510) 829-2133
LICENSING EVALUATOR SIGNATURE:
DATE: 12/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/15/2023
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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