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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 315920082
Report Date: 02/12/2025
Date Signed: 02/12/2025 10:36:11 AM

Document Has Been Signed on 02/12/2025 10:36 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 NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:ADEN CARE HOMEFACILITY NUMBER:
315920082
ADMINISTRATOR/
DIRECTOR:		GHEJU, BIANCAFACILITY TYPE:
740
ADDRESS:2217 GLACIER DRTELEPHONE:
(916) 507-8949
CITY:ROCKLINSTATE: CAZIP CODE:
95677
CAPACITY: 6CENSUS: 6DATE:
02/12/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Administrator Bianca GhejuTIME VISIT/
INSPECTION COMPLETED:
10:15 AM
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Licensing Program Analyst (LPA) Graham Gunby conducted an unannounced case management visit to the facility on 02/12/2025 for an incident that occurred on 02/09/2025. LPA met with Administrator Bianca Gheju and explained the purpose of the visit.

During today's visit, LPA reviewed R1's file, received copies of the LIC 602, case notes and admission agreement.

LPA spoke with the admin about staff providing supervision to R1. Administrator will submit the documents to LPA via email. R1 was referred to home health and will continue to receive care through the facility. Admin will continue to monitor R1 for any changes in condition.

No deficiencies cited on today's date. A copy of this letter was emailed to admin.
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Graham Gunby
LICENSING EVALUATOR SIGNATURE: DATE: 02/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/12/2025
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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