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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 345920103
Report Date: 08/02/2024
Date Signed: 08/02/2024 03:32:51 PM

Document Has Been Signed on 08/02/2024 03:32 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:SOLENZA HOME CAREFACILITY NUMBER:
345920103
ADMINISTRATOR/
DIRECTOR:		ABEBE, RAHELFACILITY TYPE:
740
ADDRESS:5525 BARBARA WAYTELEPHONE:
(916) 248-0338
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY: 6CENSUS: 0DATE:
08/02/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:35 PM
MET WITH:Rahel AbebeTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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On 8/2/2024, Licensing Program Analyst (LPA) Cassie Yang arrived at the facility to conduct a pre-licensing inspection. This is a joint visit with Sacramento Metro Fire. LPA met with Applicant, Rahel Abebe, and explained the purpose of the visit.

During today's visit, fire clearance for 6 non-ambulatory residents was denied. Sacramento Metro discussed facility needing a second hardwired smoke alarm in the living room. Additionally, Sacramento Metro discussed with Applicant regarding the needed construction for the non-ambulatory clearance.

At this time, Applicant informed LPA that they wished to hold on licensure until construction is complete and non-ambulatory cleared.

LPA informed Applicant to submit a new LIC 200, facility sketch to LPA and/or CAB analyst once ready for new inspection.

Exit interview conducted and a copy provided.
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Cassie Yang
LICENSING EVALUATOR SIGNATURE: DATE: 08/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/02/2024
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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