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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045002503
Report Date: 06/30/2021
Date Signed: 07/01/2021 04:26:56 PM

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:ALMOND BLOSSOM SENIOR CARE-BIDWELL HEIGHTSFACILITY NUMBER:
045002503
ADMINISTRATOR:CARTWRIGHT, KATHERINEFACILITY TYPE:
740
ADDRESS:1 BUDLEE COURTTELEPHONE:
(530) 809-2408
CITY:CHICOSTATE: CAZIP CODE:
95928
CAPACITY:6CENSUS: 5DATE:
06/30/2021
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Licensee Cory Williams
Administrator Katherine Cartwright
TIME COMPLETED:
04:30 PM
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On 6/30/21 at 3:30 PM, Community Care Licensing (CCL) held a virtual office meeting via Microsoft Teams with Licensee Cory Williams and Administrator Katherine Cartwright. Present from CCL: Licensing Program Manager (LPM) Laura Munoz, Licensing Program Analysts Jaclyn Avila and Michael Hood. The purpose of the meeting was to discuss COVID 19 Infection control practices and the facility’s COVID 19 mitigation plan.

Facility has conducted additional training with staff regarding COVID 19 symptoms and facility's sick policy. Staff who are feeling symptomatic or know of other staff who are symptomatic will immediately report to the facility’s administrator. Administrator will cover shifts of symptomatic staff. Facility is currently conducting response testing in accordance with Butte County Public Health's recommendations and has notified the Ombudsman's office. CCL will continue to monitor the facility and has provided with facility with PPE (personal protective equipment). A CHPCA referral was made and the facility completed training on 6/29/21.

Facility will notify CCL of any additional COVID 19 positive cases within 24 hours in accordance with 87211(a)(2)-Reporting Requirements which states, Occurrences, such as epidemic outbreaks, ...which threaten the welfare, safety or health of residents, personnel or visitors, shall be reported within 24 hours either by telephone or facsimile to the licensing agency and to the local health officer when appropriate.

No citations were issued.
SUPERVISOR'S NAME: Rayna L BrysonTELEPHONE: (530) 895-5033
LICENSING EVALUATOR NAME: Jaclyn AvilaTELEPHONE: (530) 895-4275
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2021
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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