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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 347001498
Report Date: 11/26/2024
Date Signed: 11/26/2024 11:11:03 AM

Document Has Been Signed on 11/26/2024 11:11 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
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:CITRUS HEIGHTS TERRACEFACILITY NUMBER:
347001498
ADMINISTRATOR/
DIRECTOR:
MAGDA LUISFACILITY TYPE:
740
ADDRESS:7952 OLD AUBURN ROADTELEPHONE:
(916) 727-4400
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY: 49CENSUS: 43DATE:
11/26/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:40 AM
MET WITH:Magda Luis, Administrator TIME VISIT/
INSPECTION COMPLETED:
11:10 AM
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Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection and met with Magda Luis, Administrator, and stated the reason for today's inspection. The purpose of today's inspection is to issue an updated license to reflect the recently approved increase in capacity from (45) to (49) residents. Currently, there are (43) residents with (5) residents receiving hospice care.

LPA discussed the increase in (4) residents with Administrator and how (34) residents may be non-ambulatory and (15) residents may be bedridden. There are no specific designated rooms for additional (4) residents; however, most rooms are approved for double occupancy.

LPA and Administrator conducted a tour to observe the (4) delayed egress doors and the facility for the health and safety of the residents. One outside exit gate was tested and staff were observed to have responded promptly and the strobe lights were activated. No health or safety risks were observed.

LPA was provided with a copy of an inspection report from an outside company showing that all delayed egress doors passed the inspection on 11/25/24.

LPA printed an updated copy of the license.

There are no deficiencies issued in this report.

Exit interview. Copy of report provided to Administrator.,
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Sabrina Calzada
LICENSING EVALUATOR SIGNATURE: DATE: 11/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/26/2024
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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