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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342701130
Report Date: 02/26/2025
Date Signed: 02/26/2025 03:49:10 PM

Document Has Been Signed on 02/26/2025 03:49 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 SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:COMFORTS OF HOME GAVIRATEFACILITY NUMBER:
342701130
ADMINISTRATOR/
DIRECTOR:		PARAS, FAITHFACILITY TYPE:
740
ADDRESS:9823 GAVIRATE WAYTELEPHONE:
(916) 897-9465
CITY:ELK GROVESTATE: CAZIP CODE:
95757
CAPACITY: 6CENSUS: 4DATE:
02/26/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:45 PM
MET WITH:Faith ParasTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to conduct a case management visit. LPA Moleski met with facility administrator Faith Paras and explained the purpose of the visit.

LPA Moleski previously visited this facility on 2/21/25 for an annual inspection. During that visit, LPA Moleski issued two citations which required immediate correction, pursuant to 22 CCR Sections 87468.2(a)(1) and 87465(a)(6). Paras had agreed to provide LPA Moleski written plans of correction by the end of the next day, 2/22/25, with additional plans of corrections to come at a later date. LPA Moleski provided his email address to Paras for the purposes of submitting her plans of correction. As of today, 2/26/25, LPA Moleski has received no written plans of correction related to these deficiencies.

LPA Moleski is hereby assessing civil penalties for failure to correct for each of these deficiencies for the days of 2/23/25 through 2/26/25, in the amount of $100 per day per citation, for a total of $800.

During this visit, Paras agreed to provide these plans of correction by end of day tomorrow, 2/27/25, and all subsequent plans of correction by 2/28/25.

An exit interview was held with Paras. Appeal rights and a copy of this report were left with Paras.
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Vincent Moleski
LICENSING EVALUATOR SIGNATURE: DATE: 02/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/26/2025
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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