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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342701542
Report Date: 03/13/2025
Date Signed: 03/13/2025 11:16:38 AM

Document Has Been Signed on 03/13/2025 11:16 AM - 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:LOVING GRACE CAREHOMEFACILITY NUMBER:
342701542
ADMINISTRATOR/
DIRECTOR:		ARCEGA. LOVELIEFACILITY TYPE:
740
ADDRESS:3920 PLAINSFIELD WAYTELEPHONE:
(916) 515-8482
CITY:SACRAMENTOSTATE: CAZIP CODE:
95821
CAPACITY: 6CENSUS: 5DATE:
03/13/2025
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:02 AM
MET WITH:Arlo Arcega and Lovelie ArcegaTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
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Licensing Program Analysts (LPA) Holly Williams and Licensing Program Manager Czarrina Camilon-Lee arrived unannounced to conduct a pre licensing visit. LPA Williams met with facility administrator Lovelie Arcega and explained the purpose of the visit.

It was learned that this facility will be licensed to serve up to 6 non ambulatory residents. The temperature inside the facility was observed to be at 72 degrees F which is within the required range of 68-85*F. LPA Williams observed knives and toxins to be locked away and inaccessible to clients. Smoke and carbon detectors were in good repair. Fire extinguisher was up to date. LPA Williams observed the centrally stored medication areas to be locked and made inaccessible to prospective residents at this time. LPA observed no obstruction of emergency exits inside or outside of facility. During the visit, LPA Williams and LPM Camilon-Lee observed in the backyard that there is a storage area with no door and on the right inside is a large hole in the ground and sharp tools. LPA Williams asked applicant to install a door that locks from the outside to make it inaccessible to residents. Currently the current licensed facility Sweet Magnolia Procare has an approval for one bedridden but the new applicant is not approved for bedridden residents. LPA Williams and LPM Camilon-Lee observed in bedroom #1 the facility is using part of the bedroom for storage and LPA Williams asked them to move the storage out because it does not belong to the resident who lives in the bedroom. LPA Williams informed the applicant to inform LPA Williams when these issues are corrected.

Based on a review of this facility during this Pre-licensing visit, it was determined that this facility was found to not be in compliance at this time. Applicant has completed Component III. LPA Williams will notify the Central Application Bureau (CAB) that the pre-licensing has not been completed..

An exit interview was held and a copy of the report was was emailed to Arcega.
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Holly Williams
LICENSING EVALUATOR SIGNATURE: DATE: 03/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/13/2025
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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