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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342701589
Report Date: 07/23/2025
Date Signed: 07/23/2025 04:29:25 PM

Document Has Been Signed on 07/23/2025 04:29 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:ABSOLUTE COMFORT SENIOR LIVINGFACILITY NUMBER:
342701589
ADMINISTRATOR/
DIRECTOR:
CHAND, SARITAFACILITY TYPE:
740
ADDRESS:465 SOUTH AVENUETELEPHONE:
(916) 969-8203
CITY:SACRAMENTOSTATE: CAZIP CODE:
95838
CAPACITY: 6CENSUS: 0DATE:
07/23/2025
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Sarita Chand, Administrator/LicenseeTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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On 07/23/2025 at 1:30 PM, Licensing Program Analysts (LPA) Triel Ellen Lindstrom arrived at the facility for an announced pre-licensing inspection. The LPA was greeted by the Administrator and applicant listed on the LIC 200. An interview and tour of the facility followed. The applicant accompanied the LPA on the tour.

This facility is a three-bedroom, three-bathroom residential house that has been cleared for six non-ambulatory residents by the Sacramento City Fire Department Fire Prevention Division on 1/9/2024.

The LPA toured the inside of the house, including three resident bedrooms, three bathrooms, kitchen, dining room, living room, family room, staff room, storage, office, and garage. The entire house was very clean, odor-free, and pest-free. Each bedroom will be double occupancy. Each bedroom had the required furniture and closet space for personal belongings. The windows and window screens were in good repair. There were three full bathrooms. The two hallway bathrooms were for resident use. They were clean, have grab bars, and non-slip mats. The water at a resident bathroom sink measured one hundred thirty-nine degrees Fahrenheit, outside of the required range.

The LPA observed that the temperature in the house was set at 76 degrees Fahrenheit. There were six smoke detectors that were interconnected, including in each bedroom and the hallways. There was one carbon monoxide detector. The applicant tested the smoke and carbon monoxide detectors -they were all operable and sounded an alarm. The fire extinguisher was in an upper cabinet in the kitchen, clearly visible behind a glass pane. It was last serviced on 01/02/2025 by Jorgensen Co. There were nightlights in the hallway and non-private bathrooms.

NAME OF LICENSING PROGRAM MANAGER: Lisa Rios
NAME OF LICENSING PROGRAM ANALYST: Ellen Lindstrom
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/23/2025
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 3
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: ABSOLUTE COMFORT SENIOR LIVING
FACILITY NUMBER: 342701589
VISIT DATE: 07/23/2025
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The LPA toured the kitchen. The kitchen was clean, the appliances were operable, and the trash can had a lid on it. There was no food stocked yet, but the applicant stated her understanding that a seven-day non-perishable and two-day perishable supply of food is required. Food will be in the refrigerator/freezer, cabinets, and pantry in the kitchen, as well as an extra freezer in the garage. Sharps were in a locked drawer operated by a magnetic lock.

The LPA toured the dining room, living room, and family room which contained enough furniture for all residents, including a dining table and chairs and two couches. The rooms were spacious, clean, and lit by natural light. There was room to accommodate residents’ personal recliners as well. The facility had identified activities for its monthly schedule and planned to incorporate resident preferences as well.

The LPA toured the laundry room and the garage. Laundry detergent, household cleaners, and extra bedding were kept in locked cabinets in the locked laundry room. The garage was also used for storage of extra food and household supplies.

The LPA toured the back yard, which contained a grassy area and concrete patio. The concrete walkways and patio are free of obstruction and the surrounding fence is intact and sturdy. There were latching side gates on either side of the house. The grassy area contained overgrown vegetation, and the backyard lacked a shaded activity area for residents. There were extra building supplies leaning against the side of the house.

The LPA inspected the central medication storage area. Residents’ medication will be kept in a locked cabinet in the desk area in the kitchen. There were bins for each resident’s medication and a lock box for controlled medication. There was a binder with a paper-based medication administration record.

The LPA observed that the applicant had blank resident records ready in a binder. The Administrator had her Administrator certificate (#6073762740, valid through 12/19/2026) and a criminal background clearance.

The hot water was 139 degrees Fahrenheit. The backyard had overgrown vegetation, no shaded activity area, and building supplies leaning against the side of the house. As a result of these things, the facility did not pass today's pre-licensing inspection. LPA Lindstrom will return to the facility when the corrections have been made. The applicant was informed to call LPA Lindstrom when the correction has been completed.

NAME OF LICENSING PROGRAM MANAGER: Lisa Rios
NAME OF LICENSING PROGRAM ANALYST: Ellen Lindstrom
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2025
LIC809 (FAS) - (06/04)
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