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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 347003896
Report Date: 03/23/2021
Date Signed: 03/23/2021 01:49:35 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
FACILITY NAME:ROSEMONT SENIOR CARE HOMEFACILITY NUMBER:
347003896
ADMINISTRATOR:BUDEAN, LIDIAFACILITY TYPE:
740
ADDRESS:3348 HUNTSMAN DRIVETELEPHONE:
(916) 364-7673
CITY:SACRAMENTOSTATE: CAZIP CODE:
95826
CAPACITY:6CENSUS: 3DATE:
03/23/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Licensee, Lidia BudeanTIME COMPLETED:
02:00 PM
NARRATIVE
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on 3/23/21 Licensing Program Analyst (LPA) Kevin Gould conducted a case management tele-inspection regarding concerns of the facility's notice to close and suspend operations. LPA met with Administrator Lidia Budean and together discussed the concerns.

On 3/22/21 LPA observed the three residents received notice to evict on 3/10/21 with a notice to be moved out of the facility by 4/15/21 which is less than the 60 days required notice in Tittle 22 regulations. LPA Gould and Administrator discussed the issues with the eviction notice and went over the requirements included in California's Health and Safety Code. Administrator explained that due to the escrow of the property being sold they could not allow for the 60 days notification. LPA Gould informed Administrator that due to the limited notification of 35 days the facility would be cited for eviction procedures and the notice would have to be reissued with a time frame that meets the regulations of 60 days.

The following deficiencies are cited per title 22 regulations.

Exit interview was conducted with the licensee. Appeal Rights and a copy of this report will be mailed to the facility for signature.
SUPERVISOR'S NAME: Czarrina A Camilon-LeeTELEPHONE: (916) 263-4723
LICENSING EVALUATOR NAME: Kevin GouldTELEPHONE: (619) 672-5924
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2021
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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833

FACILITY NAME: ROSEMONT SENIOR CARE HOME
FACILITY NUMBER: 347003896
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/23/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/26/2021
Section Cited

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Eviction Procedures: The licensee may, upon no less than sixty (60) days written notice, evict a resident due to change of use of the facility. This requirement was not met as evidenced by written notice from the facility stating residents were given 35 days to relocate to a new
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facility which poses a potential health and safety risk for residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Czarrina A Camilon-LeeTELEPHONE: (916) 263-4723
LICENSING EVALUATOR NAME: Kevin GouldTELEPHONE: (619) 672-5924
LICENSING EVALUATOR SIGNATURE:
DATE: 03/23/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/23/2021
LIC809 (FAS) - (06/04)
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