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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 347004496
Report Date: 07/06/2023
Date Signed: 07/06/2023 05:56:43 PM


Document Has Been Signed on 07/06/2023 05:56 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833



FACILITY NAME:ABIDING HOME CARE IFACILITY NUMBER:
347004496
ADMINISTRATOR:KEVIN MILESFACILITY TYPE:
740
ADDRESS:760 EL MACERO WAYTELEPHONE:
(916) 476-3830
CITY:SACRAMENTOSTATE: CAZIP CODE:
95831
CAPACITY:6CENSUS: DATE:
07/06/2023
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Doris EspinozaTIME COMPLETED:
06:00 PM
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Licensing Program Analyst (LPA) Victoria Brown arrived unannounced to conduct a health and safety check on residents residing in the home on 7/6/23 at 4pm. LPA was met by Lola Brown and Vyloria Smith Caregivers and stated the purpose of the visit. The Administrator Doris Espinoza arrived within 15 minutes to assist with todays visit. LPA observed the air conditioning working through out the facility. The room temperature measured in the individual rooms to be between 71.8-72.4*F during this visit. The thermostat on the wall read 73*F during this visit which is within the required range of 68-85*F. LPA interviewed resident #1 who indicated the air conditioner has been on all day. LPA also observed the ceiling fan working in R1's room. LPA observed 1 caregiver out in the backyard on the patio with resident #3 during this visit. The forecast for today is 80*F in Sacramento, Ca during this visit.

The areas reviewed during this visit:
-Medication management
-Volume of communication by staff
-Awake staff
-Temperature in facility
-Emergency Procedures

LPA reviewed procedures, regulations, and ways to safely help lift a resident for all above mentioned areas with the 2 staff and the Administrator during this visit.

Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies cited. Exit interview held, copy of report given
SUPERVISOR'S NAME: Stephen RichardsonTELEPHONE: (916) 263-4746
LICENSING EVALUATOR NAME: Victoria BrownTELEPHONE: (209) 814-1955
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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