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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 347005711
Report Date: 01/07/2025
Date Signed: 01/07/2025 09:50:53 AM

Document Has Been Signed on 01/07/2025 09:50 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 SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:ZENCAR SERVICES INCFACILITY NUMBER:
347005711
ADMINISTRATOR/
DIRECTOR:		RHYMES, KATHYFACILITY TYPE:
775
ADDRESS:3125 DWIGHT ROAD 500TELEPHONE:
(916) 737-5207
CITY:ELK GROVESTATE: CAZIP CODE:
95758
CAPACITY: 30CENSUS: 30DATE:
01/07/2025
TYPE OF VISIT:CollateralUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Josephine SaezTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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An unannounced case management visit made out to the facility on 01/07/25 at 10:00 AM, by Licensing Program Analyst Pang Lee who was met by administrator Josephine Saez. The current census is 30.

LPA Lee explained the purpose of this case management visit was to interview a client in regard to a compliant control # 27-AS-20241205110131 that is unrelated to this facility. During the interview Alta Regional Service Coordinator Mai Thor was also present.

Per California Code of Regulations, Title 22, no deficiencies were observed during this visit. Exit interview was conducted and a copy of this report was provided.
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Pang Lee
LICENSING EVALUATOR SIGNATURE: DATE: 01/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/07/2025
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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