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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 347004182
Report Date: 07/06/2023
Date Signed: 07/06/2023 10:59:42 AM


Document Has Been Signed on 07/06/2023 10:59 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:HELPING HANDSFACILITY NUMBER:
347004182
ADMINISTRATOR:ROSANA G. MEADFACILITY TYPE:
740
ADDRESS:7655 PRINCE STREETTELEPHONE:
(916) 723-2985
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY:6CENSUS: 5DATE:
07/06/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Rosana Mead, Administrator TIME COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection related to the fire clearance for non-ambulatory residents. LPA met with Rosanna Mead, Administrator, and explained purpose of the inspection. Caregiver, Jomelyn Lovena, was also present.

LPA and Administrator toured the facility to ensure that resident (R1) had moved to a room approved for a non-ambulatory resident. LPA observed R1's belongings to have been moved to a room that is in compliance with the fire clearance, and only the required furniture to be in room #1.

Administrator confirmed that R1 moved to another room on Friday, June 30 and provided photo documentation by email on 7/3/2023 also when LPA reached out.

LPA observed (3) residents to be present. Administrator stated that currently (1) resident is with family and (1) resident is at a medical appointment with a staff member.

LPA did not observe any health and safety risks to residents or personal rights violations during today's inspection.

LPA cleared the deficiencies issued on 5/10/2023 and on 6/1/2023.

There are no deficiencies issued on this report.

Exit interview. Copy of report provided to Administrator.
SUPERVISOR'S NAME: Maribeth SentyTELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Sabrina CalzadaTELEPHONE: (510) 829-2133
LICENSING EVALUATOR SIGNATURE:
DATE: 07/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/06/2023
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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