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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 347005578
Report Date: 01/29/2021
Date Signed: 01/29/2021 02:02:41 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:SCANDIA CARE FOR ELDERLY IIFACILITY NUMBER:
347005578
ADMINISTRATOR:HONG NGUYET TRINHFACILITY TYPE:
740
ADDRESS:3920 PLAINSFIELD WAYTELEPHONE:
(916) 515-8482
CITY:SACRAMENTOSTATE: CAZIP CODE:
95821
CAPACITY:6CENSUS: 6DATE:
01/29/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Jian Lin Huang "Janson", Licensee and Hong Nguyet "Zoe" Trinh, AdministratorTIME COMPLETED:
10:20 AM
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 Analysts (LPA's) Sabrina Calzada and Kevin Mknelly conducted a tele-visit with Jian Lin Huang, Licensee and Hong Nguyet "Zoe" Trinh, Administrator, on 1/29/2021 @9:45 am. The reason for the tele-visit was to clarify with the Licensee if there have been any changes in ownership since the license was opened and confirm who the current Administrator for the facility is. The following items were discussed:

Co-Licensee, Po Wan Lau , will be resigning as licensee/owner of the facility and withdrawing from the license, as she has not been involved in the business operations for some time. Co-Licensee, Jian Lin Huang, and Administrator Hong Nguyet Trinh agreed to submit a resignation letter from Po Wan Lau by Monday, 2/1/2021, as well as a completed LIC200, reflecting the change in the Licensee.

Also discussed was who the current Administrator of record is for the facility. Administrator indicated that Rebecca McFadden took over as Administrator in November 2019, which is reflected on the LIC500 to be submitted today to licensing. It was discussed that LIC500 can change if needed, but it needs to be reliable in reflecting the designated hours(20) per week Administrator plans to be at facility, for the department and for the resident's/responsible persons. Current Administrator stated she would submit a packet for the Administrator change as soon as possible. LPA's stated that the designation of a new Administrator needs to be made by and the LIC308 completed by Licensee, Jian Lin Huang.

It was also discussed if Licensee wishes to remain the Licensee, add a management company, or do a change in ownership with the management company being the sole licensee. LPA's stated Licensee can consider options and was given the contact information to the Centralized Applications Bureau for any specific questions. LIC500 and LIC309 were agreed to be provided by 1/29/21 and were received immediately following meeting.
There are no deficiencies being issued today.
Exit interview. Copy of report provided to Licensee and Administrator by email. Licensee agrees to return a signed copy to the department by end of day, 1/29/2021.
SUPERVISOR'S NAME: Maribeth SentyTELEPHONE: (916) -26-4813
LICENSING EVALUATOR NAME: Sabrina CalzadaTELEPHONE: (510) 829-2133
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2021
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