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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 502701330
Report Date: 01/31/2024
Date Signed: 01/31/2024 03:29:13 PM

Document Has Been Signed on 01/31/2024 03:29 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:HOPE'S CARE HOME #2FACILITY NUMBER:
502701330
ADMINISTRATOR:SOLORIO, GLORIAFACILITY TYPE:
735
ADDRESS:1800 RIVER RDTELEPHONE:
(209) 505-1236
CITY:MODESTOSTATE: CAZIP CODE:
95351
CAPACITY: 6CENSUS: 0DATE:
01/31/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Gloria Solorio, AdministratorTIME COMPLETED:
04:00 PM
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On 01/31/24, Licensing Program Analyst (LPA) Renee Campbell arrived to the facility at 1:00 PM. LPA Campbell met with Gloria Solorio, Administrator and Daniel Solorio, Manager and explained the purpose of the visit. The licensee is currently seeking licensure for a 6 bedroom home, with staff living quarters and 3 bathrooms in all. Facility also includes a laundry room, garage and office. The current census of the facility is zero residents.

LPA Campbell began the tour in the kitchen. Cabinets and drawers were observed to be in good repair and contained all required dishes, cookware and flatware sufficient to meet the needs of the residents. The storage area for resident medication was observed in a closet with a lock. A drawer with a locked padlock was also observed for knives. The refrigerator temperature measured 35 degrees Fahrenheit and the freezer measured 0 degrees Fahrenheit. Common areas were toured such as the living room, dining room, and all other areas intended for resident use. Furniture and furnishings were observed to be in good repair and able to meet the needs of the residents at this time.

During a tour of the resident bedrooms, LPA Campbell observed beds, closets, chairs and nightstands with lamps for each resident. There were two twin beds in each room. The staff office and living quarters were observed on the other side of the facility with a private backyard for staff only. In the staff backyard, there is a stand-alone building with two bedrooms that will be uninhabited and will remain locked. Residents will have separate access to their own outdoor space that has a table and chairs with protection from the sun.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Renee Campbell
LICENSING EVALUATOR SIGNATURE: DATE: 01/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/31/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: HOPE'S CARE HOME #2
FACILITY NUMBER: 502701330
VISIT DATE: 01/31/2024
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Water temperature in the kitchen reads 119 F* which is within the regulated temperature range of 105*F to 120*F. The fire extinguisher was purchased on 07/12/2023 and was full. Perimeter fence and gates were observed to be functional and in good repair at this time.

This facility has been observed to be in compliance at this time. There were no deficiencies observed during the course of this Pre-licensing visit.



Comp III was reviewed with applicant.

Exit Interview was conducted and a copy of this report was provided to the licensee
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Renee Campbell
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2024
LIC809 (FAS) - (06/04)
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