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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045002697
Report Date: 01/08/2025
Date Signed: 01/08/2025 03:00:36 PM

Document Has Been Signed on 01/08/2025 03:00 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:ANGEL LITE ELDER CAREFACILITY NUMBER:
045002697
ADMINISTRATOR/
DIRECTOR:		REEMTS, MARGOTFACILITY TYPE:
740
ADDRESS:231 BRYDEN WAYTELEPHONE:
(530) 589-9963
CITY:OROVILLESTATE: CAZIP CODE:
95966
CAPACITY: 6TOTAL ENROLLED CHILDREN: 0CENSUS: DATE:
01/08/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Margot Reemtz - administratorTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
NARRATIVE
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01/08/2025 12:45 PM PM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year inspection. LPA met with Jon and Margot Reemts and explained the purpose of the visit.

LPA Knight and staff toured the facility together to ensure the health and safety of residents in care. Areas toured include but are not limited to four (4) client rooms, common areas, two (2) bathrooms, kitchen, storage areas and yard. Staff and resident files were reviewed, 3 of 4 staff did not have current first aid certificates on file.

Activities are individualized for residents desires and abilities. Bedding, linens, and towels for clients were observed and found to be clean and in good repair. There is an adequate supply of toiletries for the clients. Medication is locked in a cabinet.

The facility was observed to be at a comfortable temperature. Hot water measured between 105 – 120 degrees F. Common area was clean and in good repair. All bedrooms had required furniture, bedding, and lighting. Bathrooms were clean and in good repair. Kitchen was clean and in good repair. Food appears to be stored and prepared properly. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food. Fire extinguishers fully charged. Smoke detectors are all operational. No pools/bodies of water are on premises.The facility has been conducting fire drills multiple times each year and as new staff come aboard.

LPA requested the following documents to update the facility file: LIC308 Designation of facility responsibility, LIC500 Personnel report, administrator certificate, updated liability insurance.

A deficiency is being cited from the California Code of Regulations and Health and Safety Code during today's visit and is documented on the attached LIC809-D. Exit Interview was conducted and appeal rights provided and a copy of report was provided to administrator Margot Reemts.
Lauren CrockerTELEPHONE: (916) 261-4966
Rebecca KnightTELEPHONE: (530) 356-2841
DATE: 01/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/08/2025
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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Document Has Been Signed on 01/08/2025 03:00 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827


FACILITY NAME: ANGEL LITE ELDER CARE
FACILITY NUMBER: 045002697

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/08/2025
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
Other Provisions
(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in 3 of 4 staff files which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/22/2025
Plan of Correction
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Licensee shall submit current first aid certificates to LPA as proof of correction.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Lauren CrockerTELEPHONE: (916) 261-4966
Rebecca KnightTELEPHONE: (530) 356-2841

DATE: 01/08/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/08/2025

LIC809 (FAS) - (06/04)
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