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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 347001498
Report Date: 01/15/2025
Date Signed: 01/15/2025 04:55:10 PM

Document Has Been Signed on 01/15/2025 04:55 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: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: 49DATE:
01/15/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Magda Luis, Interim Administrator TIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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 Licensing Program Analyst (LPA) Sabrina Calzada and the assigned Ombudsman arrived unannounced to conduct a case management inspection related to (3) current residents and met with Magda Luis, Interim Administrator. LPA stated the reason for today's inspection. The following items were discussed:
  • Resident (R1) who reported having a missing rain coat, dentures and other belongings. Discussed how residents need to complete a Personal Inventory Record upon move-in, staff duties with returning clean laundry to residents.
  • Resident (R2) who reportedly had a recent case of scabies. The Administrator confirmed that (R2) was sent to the Emergency Room in December 2024 and was diagnosed with scabies at the hospital. The Administrator also confirmed that there have not been any other recent scabies cases.
  • Resident (R2) - also discussed was how often caregivers provide shaving/beard care to (R2). The Administrator stated that one of the caregivers recently tried to shave (R2) but they refused. The Administrator agreed to follow up and speak with hospice about shaving during bathing.
  • Also discussed was how there were several other male residents (observed today) who appeared to not receive regular beard care. The Administrator stated there is currently one male caregiver (on the pm shift) and often the male residents prefer a male caregiver to shave/trim their beard. The facility will purchase an electric shaver this week to assist in providing regular beard care. Residents can use the salon by appointment only.
  • Resident (R3) who was observed to have several scabs on their face at the start of today's inspection. The Administrator indicated that (R3) is "always picking" themselves and how (R3) needs a Behavioral Specialist. The Administrator spoke with the Wellness Coordinator, who was on site today, who agreed to discuss with the Nurse Practitioner soon.


There are no deficiencies being cited in this report. Exit interview. Copy of report provided to the Administrator.
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Sabrina Calzada
LICENSING EVALUATOR SIGNATURE: DATE: 01/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/15/2025
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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