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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 345002815
Report Date: 07/25/2024
Date Signed: 07/25/2024 04:48:24 PM

Document Has Been Signed on 07/25/2024 04:48 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 NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:DANI'S HELPING HANDS, INC.FACILITY NUMBER:
345002815
ADMINISTRATOR/
DIRECTOR:		HAZZIEZ, DANIELLEFACILITY TYPE:
740
ADDRESS:108 REMINGTON DR.TELEPHONE:
(916) 201-4862
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY: 6CENSUS: 4DATE:
07/25/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:05 PM
MET WITH:Danielle HazziezTIME VISIT/
INSPECTION COMPLETED:
04:45 PM
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On 7/25/2024, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a required annual inspection utilizing the care tool. LPA met with Administrator, Danielle Hazziez, and explained the purpose of the visit.

Facility is licensed for six non-ambulatory residents, hospice waiver of three. Facility currently has four residents in care . LPA provided facility an updated LIC 203A.

LPA and Administrator conducted a tour of the interior and exterior of the facility to ensure the health and safety of residents in care. Areas toured included but not limited to: three residents rooms, staff room, kitchen, backyard and the common areas. LPA observed chemicals to be locked in cabinet. LPA observed facility to have 2+ days of perishable and 7+ days of nonperishable foods. LPA observed sharps to be locked and secured. LPA observed facility to be clean, safe, sanitary and in good repair. LPA and Administrator discussed no staffing concerns at the facility at this time.

LPA observed Emergency And Disaster Plan For Residential Care Facilities For The Elderly LIC610E, document was reviewed by Administrator on 06/13/2024. LPA conducted a file review for three residents in care. LPA was informed current staff working at the facility are Administrator and co-Administrator.

Today's visit, LPA obtained a copy of LIC 500, LIC 308, LIC 309, LIC 610E and Liability Insurance

Result of today's visit, no deficiencies observed.

Exit interview and a copy of the report was provided.
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Cassie Yang
LICENSING EVALUATOR SIGNATURE: DATE: 07/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/25/2024
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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