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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 345002852
Report Date: 03/30/2022
Date Signed: 03/30/2022 11:47:38 AM

Document Has Been Signed on 03/30/2022 11:47 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
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
FACILITY NAME:BETTER CARE SENIOR LIVINGFACILITY NUMBER:
345002852
ADMINISTRATOR:HEGSETH, NICOLETAFACILITY TYPE:
740
ADDRESS:7528 PARK DRTELEPHONE:
(916) 542-5306
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY: 6CENSUS: 2DATE:
03/30/2022
TYPE OF VISIT:Post LicensingUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Nicoleta Hegseth, AdministratorTIME COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) Bethany Mirlohi arrived to conduct a post Licensing inspection. LPA met with licensee Nicoleta Hegseth during today's inspection. LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Masks. In addition, staff screened LPA upon entrance.
LPA toured the facility with administrator. Currently there are 2 residents with one receiving hospice services. LPA toured kitchen, common living areas, resident rooms and staff room. Bedrooms and bathrooms were clean and in good repair. LPA observed the backyard and found exits to be clear and accessible. LPA observed residents to appear to be comfortable. There is a locked storage for medications and toxins. Food supply is adequate for 2-day perishable and 7-day nonperishable.

LPA reviewed 1 staff file and 2 resident file. LPA reviewed 1 resident medications, and compared with Centrally Stored Medication record and physician orders. All records were found to be up to date and complete. LPA reviewed employee files, and found sufficient training and a current 1st aid certificate.

In areas that were evaluated, no deficiencies observed during inspection.

Exit interview conducted.
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Bethany Mirlohi
LICENSING EVALUATOR SIGNATURE: DATE: 03/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/30/2022
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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