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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 392700747
Report Date: 05/24/2024
Date Signed: 05/24/2024 10:52:48 AM

Document Has Been Signed on 05/24/2024 10:52 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:VEA'S CARE HOMEFACILITY NUMBER:
392700747
ADMINISTRATOR/
DIRECTOR:
FHARELL, MICHAELFACILITY TYPE:
735
ADDRESS:2232 S SACRAMENTO STTELEPHONE:
(209) 662-5783
CITY:STOCKTONSTATE: CAZIP CODE:
95206
CAPACITY: 6CENSUS: 4DATE:
05/24/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:54 AM
MET WITH:Josie VeaTIME VISIT/
INSPECTION COMPLETED:
11:00 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
On 5-24-24 at 9:54am, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to conduct a case management visit follow up from a previous inspection conducted on 4-2-24. LPA met with staff member Josie Vea and explained the purpose of the visit. Administrator Michael Fharell was not present and LPA discussed the purpose of the visit via phone with Administrator and conducted a brief interview. LPA conducted a facility tour including the common areas, resident bedrooms, bathrooms, kitchen area, garage, and outside of facility to ensure compliance with Title 22 regulations. LPA observed previously stored roll away beds no longer present in facility. Facility has 4 rooms dedicated for residents in care. Fire extinguishers in place and dated 4-2-24; fully charged. Facility is clean and sanitary throughout with no foul odors. No outstanding stains observed on floors and walls. No obstructions to fire exits noted. All rooms and common areas have required furniture and furnishings. All toxins and other dangerous items were inaccessible to residents in care. All medications were locked and inaccessible to residents in care.

Administrator stated via phone that there are no immediate plans to convert existing garage into additional bedrooms space, and will so inform Licensing department should Licensee move forward with the conversion in the future. Additionally, staff are now on rotation shifts and no longer residing in facility or sleeping on facility grounds.

Based on today's case management, no citations are issued. An exit interview was conducted with Josie Vea and a copy of this report was provided to Josie.
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Michael Bilger
LICENSING EVALUATOR SIGNATURE: DATE: 05/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/24/2024
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