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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 315920095
Report Date: 10/09/2024
Date Signed: 10/09/2024 01:46:06 PM

Document Has Been Signed on 10/09/2024 01:46 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, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833
FACILITY NAME:GS CARE HOMESFACILITY NUMBER:
315920095
ADMINISTRATOR/
DIRECTOR:		TALAMPAS, SOPHIA CFACILITY TYPE:
740
ADDRESS:8032 BOSSA NOVA WAYTELEPHONE:
(916) 588-5563
CITY:ROSEVILLESTATE: CAZIP CODE:
95747
CAPACITY: 6CENSUS: 1DATE:
10/09/2024
TYPE OF VISIT:Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Sophia Talampas, Administrator/LicenseeTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct a post licensing visit. LPA met with Sophia Talampas during today's inspection. Currently there are 1 resident in the facility.

LPA toured the facility with Administrator. LPA toured 4 resident rooms, 2 bathrooms, common living areas, kitchen, and outdoor area. In the areas toured no immediate health, safety, or personal rights violations were observed. There is a locked storage for medications and toxins. Food supply is adequate for 2-day perishable and 7-day nonperishable.

LPA reviewed 1 resident file and found all required paperwork. All facility staff have received criminal record clearances and/or are associated to this facility. Liability insurance has been obtained.

No deficiencies cited during today's inspection.

Exit interview conducted.
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Bethany Mirlohi
LICENSING EVALUATOR SIGNATURE: DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/09/2024
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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