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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 502701007
Report Date: 07/18/2024
Date Signed: 07/18/2024 11:05:19 AM

Document Has Been Signed on 07/18/2024 11:05 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:CARING HANDS A RESIDENTIAL FACILITYFACILITY NUMBER:
502701007
ADMINISTRATOR/
DIRECTOR:		ACEDO, MARIA CRISTINAFACILITY TYPE:
740
ADDRESS:2912 WESTPORT CIRCLETELEPHONE:
(209) 549-6945
CITY:OAKDALESTATE: CAZIP CODE:
95361
CAPACITY: 6CENSUS: 3DATE:
07/18/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Maria AcedoTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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LPA Jensen arrived at 524 E Union St, Modesto, announced, to conduct a pre-licensing inspection as the Licensee is attempting to complete a change in ownership. LPA met with Licensee Maria Acedo and explained the purpose of the visit.

LPA Jensen requested the notice to sell given to the residents. The Licensee advised there was no notice given. A technical violation is being given.

An exit interview was conducted and a copy of this report was provided.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Maja Jensen
LICENSING EVALUATOR SIGNATURE: DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/18/2024
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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