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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342701321
Report Date: 03/03/2025
Date Signed: 03/03/2025 04:38:57 PM

Document Has Been Signed on 03/03/2025 04:38 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:ST. MARTIN'S CARE HOMEFACILITY NUMBER:
342701321
ADMINISTRATOR/
DIRECTOR:
RODIL, MARTINFACILITY TYPE:
740
ADDRESS:10720 BECLAN DRIVETELEPHONE:
(916) 934-9327
CITY:RANCHO CORDOVASTATE: CAZIP CODE:
95670
CAPACITY: 6CENSUS: 1DATE:
03/03/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:AttemptedTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On 03/03/25, Licensing Program Analyst (LPA) Kimberly Viarella made an unannounced visit to this facility to conduct an annual inspection. There was another car parked in front of the house, but not in the driveway.
While waiting for a response to the doorbell, the person who had been waiting in the care came up the walkway and identified themselves as a hospice agency interested in leaving some information.When no one responded to the door bell or the LPA knocking on the door, the hospice representative left and the LPA called the Licensee / Administrator, Martin Rodil. LPA left a message and Martin Rodil returned the call shortly thereafter. The Licensee / Administrator explained to the LPA that he had taken his resident out to an appointment and would not be back for roughly 2 hours.

Due to time constraints, LPA stated they would return at a later date and left her business card in the door for reference.

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Kimberly Viarella
LICENSING EVALUATOR SIGNATURE: DATE: 03/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/03/2025
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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