<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 347005215
Report Date: 07/26/2023
Date Signed: 07/26/2023 02:42:49 PM


Document Has Been Signed on 07/26/2023 02:42 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:ABUNDANT LOVE AND CARE FOR THE ELDERLYFACILITY NUMBER:
347005215
ADMINISTRATOR:BONITE, VIRGINIAFACILITY TYPE:
740
ADDRESS:2607 WALNUT AVENUETELEPHONE:
(916) 481-6817
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:6CENSUS: 4DATE:
07/26/2023
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
01:55 PM
MET WITH:Viriginia BoniteTIME COMPLETED:
03:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Cassie Yang arrived unannounced to conduct a required case management inspection. LPA met with caregiver, Nellie Morate, who contacted Licensee, Virginia Bonite, and explained purpose of inspection.

LPA observed the stipulation to be posted in a conspicuous space. LPA observed monthly training documentation for March 2023, April 2023, May 2023, June 2023, and July 2023. LPA observed last training was conducted by Licensee/Administrator on 07/03/2023 for S1 and S2. LPA observed July 2023's training topic to be "Special Needs of Persons With Alzheimer's Disease and Dementia and Approaches to Dementia Care & Pathogens Airborne". LPA was informed training materials are from Relias Learning. LPA confirmed training vendor is listed in CCLD's approved vendor.

LPA and Licensee discussed staffing at the facility. Licensee explained that there are two (2) staff that are on-call, and three (3) full-time staff on schedule. LPA and Licensee further discuss the possibility of a probation term reduction. LPA informed Licensee the request is still under review.

At this time, LPA found facility to be in compliance with the Stipulations and Waiver; And Order effective February 7, 2022.

Exit interview conducted and a copy of report was provided to Licensee.
SUPERVISOR'S NAME: Anthony PerezTELEPHONE: (323) 485-4915
LICENSING EVALUATOR NAME: Cassie YangTELEPHONE: 916-201-1928
LICENSING EVALUATOR SIGNATURE:
DATE: 07/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/26/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1