<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342701167
Report Date: 01/13/2025
Date Signed: 01/13/2025 04:30:33 PM

Document Has Been Signed on 01/13/2025 04:30 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:YOUNG AT HEART RCFE NO.1, INC.FACILITY NUMBER:
342701167
ADMINISTRATOR/
DIRECTOR:		MOLINYAWE, GLENDAFACILITY TYPE:
740
ADDRESS:9027 COLOMBARD WAYTELEPHONE:
(916) 689-7378
CITY:SACRAMENTOSTATE: CAZIP CODE:
95829
CAPACITY: 6CENSUS: 6DATE:
01/13/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:45 PM
MET WITH:Glenda Molinyawe, Administrator TIME VISIT/
INSPECTION COMPLETED:
04:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Victoria Brown arrived unannounced on 1/13/25 at 3:45p to conduct a Case Management visit.

LPA obtained information that a resident was possibly given an eviction notice on or about 1/9/25 and was not allowed to return to the facility.

LPA met with Glenda Molinyawe, Administrator who contacted Lillian Sisayan, Licensee regarding todays visit.

Glenda and Lillian was not aware there was an issue of receiving a resident back into the home.

Upon further investigation, LPA obtained information that this did not occur to any of the residents at this facility.

Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies observed or cited.
Exit interview held, copy of report given
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Victoria Brown
LICENSING EVALUATOR SIGNATURE: DATE: 01/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/13/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1