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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 315002851
Report Date: 03/20/2023
Date Signed: 03/21/2023 09:13:35 AM

Document Has Been Signed on 03/21/2023 09:13 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
, 520 COHASSET RD., STE. 170
CHICO, CA 95926
FACILITY NAME:LIVING AT HOME SENIOR CAREFACILITY NUMBER:
315002851
ADMINISTRATOR:PLOSCEANU, GHEORGHEFACILITY TYPE:
740
ADDRESS:2747 CAMPBELL DRTELEPHONE:
(916) 607-7679
CITY:AUBURNSTATE: CAZIP CODE:
95602
CAPACITY: 6CENSUS: 1DATE:
03/20/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Gheorghe Plosceanu, LicenseeTIME COMPLETED:
05:00 PM
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On 3/20/23 LPA Tryon visited the facility to do the annual visit using the CARE Tool. LPA met with licensee Gheorghe Plosceanu.
LPA reviewed the CARE Tool with licensee. LPA toured the facility including common areas, bedrooms, bathrooms, kitchen, garage, and yard.
The food supplies are adequate, including plenty of perishable and non-perishable supplies. The house is clean, well-furnished and in good condition. Rooms are nicely and appropriately furnished.
Locked medication storage present for medications. Cleaners and other potentially hazardous items are stored and locked.
Smoke detectors and carbon monoxide detectors installed, fire extinguisher present and charged, recently checked.
LPA requested a copy of current liability insurance to be forwarded to me; and copy of renewed Administrator Certificate when it is received.

At this time, the facility appears to be in substantial compliance with regulations. No deficiencies cited.
Exit interview conducted.
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Todd Tryon
LICENSING EVALUATOR SIGNATURE: DATE: 02/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/27/2023
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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