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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 392700263
Report Date: 02/27/2024
Date Signed: 05/20/2024 01:03:54 PM

Document Has Been Signed on 05/20/2024 01:03 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 SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:PIONEER CARE HOMEFACILITY NUMBER:
392700263
ADMINISTRATOR:RONQUILLO, EUNICEFACILITY TYPE:
735
ADDRESS:9474 PIONEER CIRCLETELEPHONE:
(209) 910-9014
CITY:STOCKTONSTATE: CAZIP CODE:
95212
CAPACITY: 6CENSUS: 4DATE:
02/27/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Eunice RonquilloTIME COMPLETED:
03:30 PM
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A probationary case management visit was conducted today on February 27, 2024 via Microsoft Teams with the Sacramento South Regional Office. Present at today's meeting include the following: Regional Manager Stephenie Doub, Licensing Program Manager Liza King, and Licensing Program Analyst Avelina Martinez; Facility Representatives: Eunice Ronquillo; HSA: Kathryn Thomas

Regional Manager, Stephenie Doub, discussed the purpose and elements of the probationary period process. This virtual meeting is to review the stipulation waiver and order adopted on 2/24/2021 and the next steps.

Term discussed at the meeting included, but not limited to: Stipulation contents
  1. Termination of three year probation period
  2. Facility Compliance
  3. Fall Prevention Plan and Fall Procedures/Policy

During the three-year probation period, the Department increased monitoring to ensure the facility was in substantial compliance with the stipulation waiver and order. The Department has determined that the facility complied with the stipulation waiver and order and has remained in substantial compliance. As a result, the Licensee was informed that the three year probation period has ended.

CCLD will do the following:
  • Update facility license and provide updated copy to Licensee.

Per the California Code of Regulations, Title 22, no violations were cited during this visit. An exit interview was conducted, and a copy of this report was provided via email. An electronic email read receipt confirms receiving these documents.
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Avelina Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 02/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/27/2024
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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