<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 345920107
Report Date: 02/20/2024
Date Signed: 02/20/2024 02:48:46 PM

Document Has Been Signed on 02/20/2024 02:48 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:A NURSES TOUCH RCFEFACILITY NUMBER:
345920107
ADMINISTRATOR:PRITCHETT, LENDOUR RNFACILITY TYPE:
740
ADDRESS:7209 LYNNBROOK COURTTELEPHONE:
(321) 223-7857
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY: 6CENSUS: 0DATE:
02/20/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Administrator- Lendour PritchettTIME COMPLETED:
02:48 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 2/20/2024, Licensing Program Analyst (LPA) Cassie Yang arrived announced at the facility to conduct a pre-licensing inspection. LPA met with Applicant, Lendour Pritchett, and explained the purpose of the visit.

During today's inspection, LPA and Applicant conducted a tour of the interior and exterior of the facility to ensure there is no immediate health, safety and personal rights violation. LPA conducted a tour of two shared bedrooms, two private bedrooms, three bathrooms, laundry room, kitchen, garage, backyard, and common areas.

LPA observed fire extinguisher serviced on 11/28/2023. LPA observed resident bedrooms to have the proper furniture of comfortable bed, night stand, dresser, lamp and chair. LPA observed the facility to have a proper storage for medications, toxins and sharps which is locked and inaccessible. LPA observed facility to have ample supply of personal hygiene, linen, and non-perishable foods. LPA observed the exterior of the facility to be free of obstruction. LPA observed the facility to have the required posters of Community Care Licensing Division and Long Term Care Ombudsman.

LPA and Applicant completed the inspection tool and Comp III. Pre-Licensing completed and no deficiencies was observed.

LPA and Applicant discussed providing Applicant a copy of LIC 311F, Health Safety Code regarding staff training, regulation regarding physical restraint. LPA informed Applicant facility is not licensed until Applicant is informed by Centralized Application Bureau Analyst with a copy of facility license.

Exit interview conducted and a copy of the report was provided via email.
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Cassie Yang
LICENSING EVALUATOR SIGNATURE: DATE: 02/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/20/2024
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 1