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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 315920238
Report Date: 02/20/2025
Date Signed: 02/20/2025 01:47:53 PM

Document Has Been Signed on 02/20/2025 01:47 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:SENIOR CARE @ DIAMOND OAKS IIFACILITY NUMBER:
315920238
ADMINISTRATOR/
DIRECTOR:		MACIUCA, ESTERAFACILITY TYPE:
740
ADDRESS:255 FIRESTONE DR.TELEPHONE:
(916) 470-1416
CITY:ROSEVILLESTATE: CAZIP CODE:
95678
CAPACITY: 6CENSUS: 0DATE:
02/20/2025
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:40 PM
MET WITH:Estera MaciucaTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility announced on February 20, 2025 to conduct a Pre-licensing referencing the CARE inspection tool. LPA met with the Administrator and explained the purpose of the visit.

LPA toured the interior and exterior of the facility and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room and outdoor areas. In the areas toured no immediate health, safety concerns observed.

There are currently no residents or staff present.

Component III review is waived as the applicant has other facilities.

The facility is in significant compliance.
License is pending final approval.

Report reviewed and copy provided.
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Kevin Mknelly
LICENSING EVALUATOR SIGNATURE: DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/20/2025
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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