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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 347001594
Report Date: 08/18/2023
Date Signed: 08/18/2023 12:51:14 PM


Document Has Been Signed on 08/18/2023 12:51 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 AC/SC, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833



FACILITY NAME:CHRIS BEST CARE FOR ELDERLYFACILITY NUMBER:
347001594
ADMINISTRATOR:VINLUAN, LITAFACILITY TYPE:
740
ADDRESS:8208 SUMMER FALLS CIRCLETELEPHONE:
(916) 682-3942
CITY:SACRAMENTOSTATE: CAZIP CODE:
95828
CAPACITY:5CENSUS: 3DATE:
08/18/2023
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Lita VinluanTIME COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) Pang Lee arrived unannounced to conduct a health and safety case management visit. The facility is on quarterly visits due to non-compliance concerns discussed during an zoom meeting on 05/17/2023. LPA Lee met with licensee, Lita Vinluan and explained the purpose of the visit.

LPA toured the physical plant to ensure compliance with Title 22 regulations. Today, there were 2 staff on shift that were observed to be fingerprint cleared. LPA observed resident bedrooms, bathrooms, common areas, exterior plant, and storage shed. LPA observed resident bedrooms and bathrooms to have necessary furniture and furnishings. Bedrooms were equipped with a bed, chair, dresser, and closet space. Bathrooms were stocked with paper towels, soap, and hand rails; however, bathrooms did not have Non slip mat. Temperature inside the home is 75*F. Hot water temperature was measured at 105.5*F. LPA Lee observed Fire extinguishers were not up to date, with a service tag of 06/16/2022 and the carbon monoxide not in good repair. LPA Lee observed no emergency exits were obstructed and the fire alarm is in good repair. LPA Lee observed chemicals were made accessible to residents in care. LPA Lee observed 5 dogs and 5 cats in the facility. LPA Lee also observed the facility to have a pet order smell. LPA Lee observed the hardwood floor near the kitchen not in good repair. LPA requested to review 3 resident files and 3 staff files. Staff files and resident files were observed to be current with up to date. During the visit, residents were observed eating breakfast and watching TV. LPA spoke to 3 residents and 3 residents appeared to be cleaned.

The following deficiencies above were found during today's visit; however, no licensing citations will be given for this visit. The following deficiencies were cited on an annual visit on 08/18/2023. Per California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies cited. An exit interview was held, and a copy of the report was provided.
SUPERVISOR'S NAME: Czarrina A Camilon-LeeTELEPHONE: (916) 263-4700
LICENSING EVALUATOR NAME: Pang LeeTELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:
DATE: 08/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/18/2023
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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