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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 315920198
Report Date: 08/14/2024
Date Signed: 08/14/2024 03:41:27 PM

Document Has Been Signed on 08/14/2024 03:41 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, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:BETTER WORLD CAREFACILITY NUMBER:
315920198
ADMINISTRATOR/
DIRECTOR:
MAGUREAN, EMANUELAFACILITY TYPE:
740
ADDRESS:12719 SHOCKLEY WOODS CTTELEPHONE:
(530) 537-2117
CITY:AUBRUNSTATE: CAZIP CODE:
95603
CAPACITY: 6CENSUS: 4DATE:
08/14/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Emanuela MagureanTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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On 8/14/2024 LPA Tryon visited the facility to do a Prelicensing visit. LPA met with applicant Emanuela Magurean. The facility is currently licensed and has 4 residents in care. Facility is undergoing a "change of ownership" application.

LPA toured the facility including common areas, kitchen, dining room, living room, bedrooms, bathrooms, hallways, laundry, storage, deck and yard.

The facility is clean, well-furnished and in good condition. Food supplies are appropriate to meet the requirement of 2 days perishable and 7 days non-perishable supplies. The facility has plenty of dishes, cook ware, utensils, etc. The facility has plenty of cleaning supplies, PPE, clean linens, etc.

Smoke detectors and carbon monoxide detectors installed. Fire extinguishers are present and charged.

Medications are centrally stored and locked in medication cabinet, centrally stored logs are maintained. Medications are stored in original containers.

No hazards or obstructions were noted.

LPA reviewed the CARE Tool for prelicensing visit with applicant. No deficiencies were noted.

LPA reviewed the RCFE Orientation Component III with applicant. At this time, applicant has completed the RCFE Orientation.
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Todd Tryon
LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024
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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